Individual provider Active NPI

Anita Lebatard, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1477094415
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-109544 Issued in AL
Practice address
23 Midtown Park W
Mobile, AL 36606-4139
Phone
(251) 295-5110
Fax
(251) 545-4963
NPI assigned
Mar 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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 1-109544 AL Primary

Addresses

Primary practice location

23 Midtown Park W
Mobile, AL 36606-4139

Mailing address

23 Midtown Park W
Mobile, AL 36606-4139
Phone (251) 295-5110

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
I20170405001471 AL Practitioner - Nurse Practitioner 7315223310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile County Board of Health 26 clinicians

Practice addresses (Care Compare)

3810 Wulff Rd E
Semmes, AL 36575-5256
Phone (251) 445-0582

Hospital & facility affiliations

  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile County Board of Health CurrentSince Sep 11, 2018 Accepting new patients
Mobile County Board of Health CurrentSince Sep 11, 2018 Accepting new patients

Locations

19260 N Mobile St
Citronelle, AL 36522
Phone (251) 866-5585

3810 Wulff Rd E
Semmes, AL 36575
Phone (251) 445-0582

Interoperability endpoints

  • Direct secure messaging: anita.lebatard.1@15479.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1477094415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MIDTOWN PARK W",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064139",
            "telephone_number": "251-295-5110",
            "fax_number": "251-545-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MIDTOWN PARK W",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064139",
            "telephone_number": "251-295-5110",
            "fax_number": "251-545-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBATARD",
        "first_name": "ANITA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-109544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.