Individual provider Active NPI

Mary Reeves, NP

  • Pediatric Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1184301970
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-169385 Issued in AL
Practice address
3290 Dauphin St Ste 301
Mobile, AL 36606-4052
Phone
(251) 660-5930
Fax
(251) 660-5931
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 1-169385 AL
Pediatric Nurse Practitioner 363LP0200X 1-169385 AL Primary

Addresses

Primary practice location

3290 Dauphin St Ste 301
Mobile, AL 36606-4052

Mailing address

PO Box 21595
Belfast, ME 04915-4112
Phone (251) 300-5941

Other practice location 1

1700 Center St
Mobile, AL 36604-3301
Phone (251) 415-1055

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
I20231006000161 AL Practitioner - Nurse Practitioner 1355796673 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-169385ALMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Health Care Authority CurrentSince Apr 1, 2024 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Aug 30, 2023 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Aug 30, 2023 Accepting new patients

Locations

21950 State Highway 181
Fairhope, AL 36532
Phone (251) 410-5437

1700 Center St
Mobile, AL 36604
Phone (251) 415-1000

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

3290 Dauphin St
Ste 301
Mobile, AL 36606
Phone (251) 660-5930

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

3290 Dauphin St
Mobile, AL 36606
Phone (251) 435-7460

Interoperability endpoints

  • Direct secure messaging: mary.reeves.1@16253.direct.athenahealth.com

Organizations & group practices 3

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": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1184301970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21595",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154112",
            "telephone_number": "251-300-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 DAUPHIN ST STE 301",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064052",
            "telephone_number": "251-660-5930",
            "fax_number": "251-660-5931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Center St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366043301",
            "country_code": "US",
            "telephone_number": "251-415-1055",
            "fax_number": "251-415-1045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEVES",
        "first_name": "MARY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "AL",
            "license": "1-169385",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-169385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.