Individual provider Active NPI

Christine Ann Harden Mott, RN-NIC, IBCLC, BSN

  • Lactation Consultant (Registered Nurse)
  • Vestavia Hills, AL
National Provider Identifier
1063013548
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-163122 Issued in AL
Practice address
2225 Myrtlewood Dr
Vestavia Hills, AL 35216-5123
Phone
(410) 336-4353
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R-182375 MD
Neonatal Intensive Care Registered Nurse 163WN0002X 1-163676 AL
Lactation Consultant (Registered Nurse) 163WL0100X L-163122 AL Primary

Addresses

Primary practice location

2225 Myrtlewood Dr
Vestavia Hills, AL 35216-5123

Mailing address

2225 Myrtlewood Dr
Vestavia Hills, AL 35216-5123
Phone (410) 336-4353

Other identifiers 3

IdentifierTypeStateIssuer
1-163676OtherALNURSING LICENSURE
R-192375OtherMDNURSING LICENSURE
L-163122OtherINTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
R-182375MDMDRegistered Nurse
L-163122ALMDLactation Consultant (Registered Nurse)
1-163676ALMDNeonatal Intensive Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1063013548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 MYRTLEWOOD DR",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352165123",
            "telephone_number": "410-336-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 MYRTLEWOOD DR",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352165123",
            "telephone_number": "410-336-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "CHRISTINE",
        "middle_name": "ANN HARDEN",
        "credential": "RN-NIC, IBCLC, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R-182375",
            "primary": false
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "AL",
            "license": "1-163676",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AL",
            "license": "L-163122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSURE",
            "identifier": "1-163676",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSURE",
            "identifier": "R-192375",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL BOARD OF LACTATION  CONSULTANT EXAMINERS",
            "identifier": "L-163122",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.