Individual provider Active NPI

Lauren Marie McMinn, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1003354713
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-137067 Issued in AL
Practice address
1855 Spring Hill Ave
Mobile, AL 36607-2301
Phone
(251) 471-3544
Fax
(251) 476-7456
NPI assigned
Feb 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-137067 AL Primary

Addresses

Primary practice location

1855 Spring Hill Ave
Mobile, AL 36607-2301

Mailing address

1855 Spring Hill Ave
Mobile, AL 36607-2301
Phone (251) 471-3544

Other names 1

  • Lauren Marie Simmons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170601001547 AL Practitioner - Nurse Practitioner 2769759398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern NP Associates LLCGroup PAC ID 1557686243, 52 clinicians

Practice addresses (Care Compare)

3070 Healthy Way
Vestavia, AL 35243-2331
Phone (205) 343-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern NP Associates, LLC CurrentSince May 9, 2022 Accepting new patients
Imc-Cardio-Thoracic and Vascular Surgical Associates LLC CurrentSince Sep 1, 2019 Accepting new patients

Locations

22969 Highway 25
Columbiana, AL 35051
Phone (205) 669-1712

1855 Spring Hill Ave
Mobile, AL 36607
Phone (251) 471-3544

931 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 343-7301

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

575 Southland Dr
Vestavia, AL 35226
Phone (205) 721-6200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1003354713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072301",
            "telephone_number": "251-471-3544",
            "fax_number": "251-476-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072301",
            "telephone_number": "251-471-3544",
            "fax_number": "251-476-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMINN",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-137067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "SIMMONS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.