Active NPI
Lee Patino, CRNP
- Family Nurse Practitioner
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-138658
- Practice address
- 2908 McGehee Rd
Montgomery, AL 36111-2103 - Phone
- (334) 229-9955
- NPI assigned
- Oct 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-138658 | AL | Primary |
Addresses
Primary practice location
2908 McGehee Rd
Montgomery, AL 36111-2103
Mailing address
2908 McGehee Rd
Montgomery, AL 36111-2103
Phone (334) 229-9955
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
Enrollment records 1
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
Practice addresses (Care Compare)
124 S Memorial Dr
Prattville, AL 36067-3619
Phone (334) 365-0551
2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100
Hospital & facility affiliations
- Baptist Medical Center South
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-138658 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Family Care, LLC | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| Medhealth Home Care, LLC | Current | Accepting new patients |
Locations
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
2570 Berryhill Rd
Montgomery, AL 36117
Phone (334) 323-1330
2908 McGehee Rd
Montgomery, AL 36111
Phone (334) 229-9955
124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
AL
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1669429080
-
- Family Medicine Physician
- Vestavia Hills, AL
- NPI 1265210645
-
- In Home Supportive Care Agency
- Montgomery, AL
- NPI 1437813342
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1023569423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 MCGEHEE RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112103",
"telephone_number": "334-229-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 MCGEHEE RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112103",
"telephone_number": "334-229-9955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATINO",
"first_name": "LEE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-138658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.