Individual provider Active NPI

Amanda Ladner, CRNP

  • Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1174978464
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-142408 Issued in AL
Practice address
101 Memorial Hospital Dr Ste 200
Mobile, AL 36608-1787
Phone
(251) 414-5900
NPI assigned
Apr 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-142408 AL
Nurse Practitioner 363L00000X 1-142408 AL Primary

Addresses

Primary practice location

101 Memorial Hospital Dr Ste 200
Mobile, AL 36608-1787

Mailing address

PO Box 160928
Mobile, AL 36616-1928
Phone (251) 414-5900

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
I20160721001645 AL Practitioner - Nurse Practitioner 5597058040 Reassigns benefits to 2 organizations

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
Alabama Medical Group PCGroup PAC ID 6709152499, 42 clinicians

Practice addresses (Care Compare)

101 Memorial Hospital Dr
Suite 200
Mobile, AL 36608-1787
Phone (251) 414-5900

Hospital & facility affiliations

  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Group, P.C. CurrentSince Jun 9, 2016 Accepting new patients
Internal Medicine Center CurrentSince May 1, 2022 Accepting new patients
The Orthopaedic Group, PC CurrentSince Jun 9, 2016 Accepting new patients
Alabama Medical Group, PC CurrentSince Dec 6, 2017 Accepting new patients

Locations

6144 Airport Blvd
Mobile, AL 36608
Phone (251) 342-0004

101 Memorial Hospital Dr
Ste 200
Mobile, AL 36608
Phone (251) 414-3079

Interoperability endpoints

  • Direct secure messaging: aladner@tog1813.srs-direct.com

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.

Hospital & facility affiliations 1

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": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1174978464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160928",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366161928",
            "telephone_number": "251-414-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEMORIAL HOSPITAL DR STE 200",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081787",
            "telephone_number": "251-414-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADNER",
        "first_name": "AMANDA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-142408",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-142408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.