Individual provider Active NPI

Mary Darlene Hazard, CRNP

  • Family Nurse Practitioner
  • Spanish Fort, AL
National Provider Identifier
1225042658
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-056988 Issued in AL
Practice address
7286 Butterfly Cir
Spanish Fort, AL 36527-4040
Phone
(251) 509-5347
Fax
(479) 201-0668
NPI assigned
Jul 29, 2006
Last updated
Sep 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-056988 AL Primary

Addresses

Primary practice location

7286 Butterfly Cir
Spanish Fort, AL 36527-4040

Mailing address

1201 Montlimar Dr Ste 100
Mobile, AL 36609-1718
Phone (251) 343-0989

Other identifiers 1

IdentifierTypeStateIssuer
51093024OtherALBCBS OF AL

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-056988ALMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1225042658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MONTLIMAR DR STE 100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091718",
            "telephone_number": "251-343-0989",
            "fax_number": "251-343-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7286 BUTTERFLY CIR",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365274040",
            "telephone_number": "251-509-5347",
            "fax_number": "479-201-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZARD",
        "first_name": "MARY",
        "middle_name": "DARLENE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-056988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51093024",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.