Individual provider Active NPI

Mary Lee, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1194277244
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-136457 Issued in AL
Practice address
2400 Gordon Smith Dr
Mobile, AL 36617-2319
Phone
(251) 473-4423
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-136457 AL Primary

Addresses

Primary practice location

2400 Gordon Smith Dr
Mobile, AL 36617-2319

Mailing address

700 19TH St S
Birmingham, AL 35233-1927
Phone (205) 903-8613

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
I20180103003359 AL Practitioner - Nurse Practitioner 1254699846 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-136457ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altapointe Health Systems, Inc. CurrentSince Nov 11, 2017 Accepting new patients
Altapointe Health Systems Inc CurrentSince Nov 11, 2017 Accepting new patients
Altapointe Health Systems, Inc. Current Accepting new patients
Altapointe Health Systems, Inc. Past Accepting new patients

Locations

2009 Medical Center Dr
Bay Minette, AL 36507
Phone (251) 937-2010

13833 Tapia Ave
Ste B
Bayou Labatre, AL 36509

7400 Roper Ln
Daphne, AL 36526
Phone (251) 378-6500

372 Greeno Rd S
Fairhope, AL 36532
Phone (251) 927-2871

374 Greeno Rd S
Fairhope, AL 36532
Phone (251) 450-2250

201 E Camphor Ave
Foley, AL 36535
Phone (251) 929-5410

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

5800 Southland Dr
Mobile, AL 36693
Phone (251) 661-0153

1015 Montlimar Dr
Mobile, AL 36609
Phone (251) 450-2250

7280 Sellers Ln
Mobile, AL 36608
Phone (251) 277-9064

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

630 Zeigler Cir E
Mobile, AL 36608
Phone (251) 450-4335

6908 Providence Park Dr S
Mobile, AL 36695
Phone (251) 660-3490

Interoperability endpoints

  • Direct secure messaging: mary.leecrnp.p1@direct.accordiahealth.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1194277244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331927",
            "telephone_number": "205-903-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 GORDON SMITH DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172319",
            "telephone_number": "251-473-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-136457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.