Individual provider Active NPI

Elizabeth Drake Mapoles, CRNP

  • Pediatric Nurse Practitioner
  • Vestavia Hills, AL
National Provider Identifier
1457987257
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-155814 Issued in AL
Practice address
790 Montgomery Hwy Ste 112
Vestavia Hills, AL 35216-1873
Phone
(205) 769-6800
NPI assigned
Mar 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-155814 AL
Pediatric Nurse Practitioner 363LP0200X 1-155814 AL Primary

Addresses

Primary practice location

790 Montgomery Hwy Ste 112
Vestavia Hills, AL 35216-1873

Mailing address

19 Honeysuckle LN
Mountain BRK, AL 35213-3011
Phone (205) 370-3118

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emapoles@yourkidsurgentcare.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-155814ALMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Your Kids Urgent Care Alabama CurrentSince Nov 20, 2022 Accepting new patients

Locations

790 Montgomery Hwy
Ste 112
Vestavia Hills, AL 35216
Phone (205) 769-6800

Organizations & group practices 1

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1457987257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HONEYSUCKLE LN",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352133011",
            "telephone_number": "205-370-3118",
            "fax_number": "205-638-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 MONTGOMERY HWY STE 112",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161873",
            "telephone_number": "205-769-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPOLES",
        "first_name": "ELIZABETH",
        "middle_name": "DRAKE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-155814",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-155814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emapoles@yourkidsurgentcare.com",
            "affiliation": "N",
            "address_1": "790 Montgomery Hwy Ste 112",
            "city": "Vestavia Hills",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352161873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.