Active NPI
Mary Darlene Hazard, CRNP
- Family Nurse Practitioner
- Spanish Fort, AL
National Provider Identifier
1225042658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-056988
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51093024 | Other | AL | BCBS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-056988 | AL | MD | Family 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.