Individual provider Active NPI

Mary Bentley Labriola, CRNP

  • Acute Care Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1124387659
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-105655 Issued in AL
Practice address
1440 Narrow Lane Pkwy
Montgomery, AL 36111-2654
Phone
(334) 281-4140
NPI assigned
May 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-105655 AL Primary

Addresses

Primary practice location

1440 Narrow Lane Pkwy
Montgomery, AL 36111-2654

Mailing address

1440 Narrow Lane Pkwy
Montgomery, AL 36111-2654
Phone (334) 281-4140

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
I20120614000579 AL Practitioner - Nurse Practitioner 0941464309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Region Family Medicine, LLCGroup PAC ID 2163853151, 56 clinicians

Practice addresses (Care Compare)

277 Huntress St
Suite 100
Wetumpka, AL 36092-3329

277 Huntress St
Suite 100
Wetumpka, AL 36092-3342
Phone (334) 567-3309

PO Box
Suite 130
Wetumpka, AL 36092

Hospital & facility affiliations

  • Ivy Creek Home Health of Elmore Home health agency, Wetumpka, AL, CCN 017116
  • Elmore Community Hospital Hospital, Wetumpka, AL, CCN 010097
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
  • Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivycreek of Elmore LLC PastSince Apr 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mary.labriola@direct.baptistfirst.org

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1124387659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 NARROW LANE PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112654",
            "telephone_number": "334-281-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 NARROW LANE PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112654",
            "telephone_number": "334-281-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRIOLA",
        "first_name": "MARY",
        "middle_name": "BENTLEY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-105655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.