Mary Virginia Colvert, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-144851 Issued in AL

Practice address

200 Riverhill Business Park
#250
Birmingham, AL 35242

Phone

(205) 995-0899

NPI assigned

Feb 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Growing Up Pediatrics, P.C.

  • Pediatrics Physician
  • Birmingham, AL
  • NPI 1356456214
  NPD (past)

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1326549429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 BROADWAY ST",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096209",
            "telephone_number": "256-345-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RIVERHILL BUSINESS PARK",
            "address_2": "#250",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-995-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVERT",
        "first_name": "MARY",
        "middle_name": "VIRGINIA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-144851",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-144851",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-144851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Franklin Colpoys
• Kathryn L Coltrane
• Lisa Dean Columbia, M.D.
• Columbus Eye Associates, Inc.
• Laura Marie Chavez Columbus, MD
• Caroline Wingo Colvin, MD
• Charles Peyton Colvin, M.D.
• Edward V Colvin, M.D.
• Rosilem Barclay Colvin, RN
• Sarita Renee Colvin, LICSW

• Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.