WILMA DIANE BALIEM (NPI# 1871706978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871706978 |
| Entity Type | Individual |
| Full Name | WILMA DIANE BALIEM |
| Credential | CRNP |
| Practice Address |
1660 Springhill Avenue Mobile AL 36640-0430 |
| Mailing Address |
Po Box 40430 Mobile AL 36640-0430 |
| Practice Telephone | 2516658000 |
| Practice Fax Number | 2516658010 |
| Mailing Telephone | 2516658000 |
| Mailing Fax Number | 2516658010 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2015-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1-046774 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 308566000 | 05 | |
| AL | 891017418 | 05 | |
| MS | 00985524 | 05 | |
| AL | BCBS - 1660 SPRINGHILL AVE | 051544202 | 01 |
| AL | BCBS - HSF | 51542600 | 01 |
| Street Address |
1660 SPRINGHILL AVENUE |
| City | MOBILE |
| State | AL |
| Zip Code | 36640-0430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730131210 | Rodney P Rocconi | Obstetrics & Gynecology | 1660 Springhill Avenue, Mobile, AL 36640-0430 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225989 | Helen Mcgill Guthrie | Social Worker | 1701 Government St, Mobile, AL 36604-1103 | 2020-11-06 |
| 1093316259 | University of South Alabama Health Care Authority | Internal Medicine | 2503 Old Shell Rd, Mobile, AL 36607-3021 | 2020-11-04 |
| 1235730862 | Tips Love LLC | Nurse's Aide | 4167 Shan Dr E, Mobile, AL 36693-4856 | 2020-11-02 |
| 1457951063 | Courtney Hall | Home Health Aide | 3223 Spring Hill Ave, Mobile, AL 36607-1809 | 2020-11-01 |
| 1316547763 | Jacquelyn Keller | Massage Therapist | 3050 Meadow Ln, Mobile, AL 36618-4634 | 2020-10-26 |
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1750980397 | Ali Marino | Marriage & Family Therapist | 1327 Spring Hill Ave, Mobile, AL 36604-3231 | 2020-10-24 |
| 1467051904 | Endia Vranee Bush-brooks | Technician | 10922 Sierra Estates Dr, Mobile, AL 36608-4049 | 2020-10-24 |
| 1629677596 | Linda Jean Hayes | Counselor | 2146 Carson Court, Mobile, AL 36695 | 2020-10-22 |
| 1457950123 | Shameka Manigault | Social Worker | 5566 Vanderbilt Ct, Mobile, AL 36608-3026 | 2020-10-22 |
| Find all providers in MOBILE | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070300 | Sarah Katherine Clarke | Nurse Practitioner | 861 Pinemont Dr, Mobile, AL 36609-3037 | 2020-07-07 |
| 1104448919 | Thaila Keodouangdy | Nurse Practitioner | 9350 Ofallon Dr, Mobile, AL 36695-9813 | 2020-05-14 |
| 1427616861 | Shannon Lebakken | Nurse Practitioner | 5235 Rangeline Service Rd S Ste A, Mobile, AL 36619-9541 | 2019-05-31 |
| 1811453178 | Kimberly Michelle Webb | Nurse Practitioner | 6701 Airport Blvd Ste A107, Mobile, AL 36608-6774 | 2019-02-12 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1750714572 | Stephanie Wilkes-heritage | Nurse Practitioner | 10631 Hunters Ridge Dr, Mobile, AL 36695-9247 | 2013-08-15 |
| 1801149166 | Joseph Hunt Booth Jr. | Nurse Practitioner | 53 Houston St, Mobile, AL 36606-1430 | 2012-10-23 |
| 1548556947 | Natasha H Andrews | Nurse Practitioner | 116 Carondolet Court West, Mobile, AL 36608 | 2011-06-23 |
| 1164729406 | Ameshia D Bush Taylor | Nurse Practitioner | 1311 Lola St, Mobile, AL 36603-5478 | 2011-02-23 |
| 1447553649 | Alethea Nicole Hill | Nurse Practitioner | 2261 Costarides Street, Mobile, AL 36617 | 2010-12-09 |
| Find all providers in MOBILE | ||||
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| 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.