STACEE BYRD BERTOLLA


Address: 1700 Center St, Mobile, AL 36604-3301
Phone: 2514151144

STACEE BYRD BERTOLLA (NPI# 1326545575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326545575
Entity Type Individual
Full Name STACEE BYRD BERTOLLA
Credential CRNP
Practice Address 1700 Center St
Mobile
AL 36604-3301
Mailing Address 16513 County Road 68
Loxley
AL 36551-3219
Practice Telephone 2514151144
Mailing Telephone 2512280080
Enumeration Date 2018-04-12
Last Update Date 2018-04-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
1-063545 AL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1700 CENTER ST
City MOBILE
State AL
Zip Code 36604-3301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285699983 Margaret E. Ishee Nurse Anesthetist, Certified Registered 1700 Center St, Mobile, AL 36604-2457 2006-04-18
1861007262 Charlotte Annette Moss Nurse Practitioner 1700 Center St, Mobile, AL 36604-3301 2020-09-11
1255942413 Aayushka Gurung Student in an Organized Health Care Education/Training Program 1700 Center St, Mobile, AL 36604-3301 2020-08-12
1407466600 Abdul Kader Saifuddin Surti Student in an Organized Health Care Education/Training Program 1700 Center St, Mobile, AL 36604-3301 2020-08-03
1376153601 Seemal Iftikhar Student in an Organized Health Care Education/Training Program 1700 Center St, Mobile, AL 36604-3301 2020-08-02
1407464415 Khushboo Golani Student in an Organized Health Care Education/Training Program 1700 Center St, Mobile, AL 36604-3301 2020-07-15
1336757350 Sabeeha Naazneen Shaik Student in an Organized Health Care Education/Training Program 1700 Center St, Mobile, AL 36604-3301 2020-07-15
1336760636 Claudia Reed Nurse Practitioner 1700 Center St, Mobile, AL 36604-3301 2020-04-28
1154952547 Lauren D Morgan Nurse Practitioner 1700 Center St, Mobile, AL 36604-3301 2020-02-04
1396375879 Austin Lee Williams Nurse Anesthetist, Certified Registered 1700 Center St, Mobile, AL 36604-3301 2020-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013551449 John F Kilpatrick Social Worker 1156 Springhill Avenue, Mobile, AL 36604 2019-10-29
1477036986 Rachel Schneider Specialist/Technologist 1601 Center St Ste B, Mobile, AL 36604 2018-09-11
1891218194 Transitional Care LLC Nurse Practitioner 1725 Springhill Avenue, Mobile, AL 36604 2017-07-19
1427404722 Precision Orthotics & Prosthetics,llc Durable Medical Equipment & Medical Supplies 1557 Springhill Avenue, Mobile, AL 36604 2016-05-05
1851737746 Robert P. Kobelja Psychiatry & Neurology 1601 Center St Ste 2s, Mobile, AL 36604 2013-05-17
1619233970 Lisa Brown Bailey Nurse Practitioner 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 2012-04-11
1023341773 Rebecca Blankenhorn Audiologist 1610 Center St., Suite A, Mobile, AL 36604 2009-09-14
1700062684 William-glenn Langley Hollingsworth Counselor 1156 Springhill Ave, Mobile, AL 36604 2008-01-10
1972715415 Allison May Chung Pharmacist 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 2007-05-04
1265504716 Geriatric Specialists LLC Internal Medicine 1059 Palmetto St, Mobile, AL 36604 2006-11-13
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629531181 Holley Lewis Collins Nurse Practitioner 1601 Center St Ste 1a, Mobile, AL 36604-1541 2019-04-11
1164927521 Danielle Madison Williams Nurse Practitioner 32 Tacon St Ste A, Mobile, AL 36607-3138 2018-03-28
1861007262 Charlotte Annette Moss Nurse Practitioner 1700 Center St, Mobile, AL 36604-3301 2020-09-11
1427669449 Janelle N Davis Nurse Practitioner 251 N Bayou St, Mobile, AL 36603-5827 2020-08-13
1902383383 Caitlin Elizabeth Skipper Nurse Practitioner 1700 Center St, Mobile, AL 36604 2018-07-27
1932685757 Gretchen Joy Dempsey Nurse Practitioner 1700 Center St, Mobile, AL 36604-3301 2018-07-15
1730699513 Tricia Kenny Huey Nurse Practitioner 1601 Center St Ste 1s, Mobile, AL 36604-1541 2017-10-05
1841721578 Sarah Patton Nurse Practitioner 1700 Center St, Mobile, AL 36604-3301 2017-03-24
1457705709 Rachel G Wiley Nurse Practitioner 32 Tacon St, Suite A, Mobile, AL 36607-3138 2016-04-22
1508227570 Lindsey L Parrish Nurse Practitioner 1601 Center St, Ste 1n, Mobile, AL 36604-1512 2016-03-17
Find all providers in MOBILE

Competitor

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City MOBILE
Zip Code 36604

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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