Individual provider Active NPI

Patricia Hall, CRNP

  • Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1487798088
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-084380 Issued in AL
Practice address
1700 Spring Hill Ave
Suite 100
Mobile, AL 36604-1407
Phone
(251) 435-1200
Fax
(251) 435-6357
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-084380 AL Primary

Addresses

Primary practice location

1700 Spring Hill Ave
Suite 100
Mobile, AL 36604-1407

Mailing address

1700 Spring Hill Ave
Suite 100
Mobile, AL 36604-1407
Phone (251) 435-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070305000409 AL Practitioner - Nurse Practitioner 6305949793 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-084380ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Aug 6, 2021 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Aug 6, 2021 Accepting new patients

Locations

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

Organizations & group practices 2

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1487798088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SPRING HILL AVE",
            "address_2": "SUITE 100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041407",
            "telephone_number": "251-435-1200",
            "fax_number": "251-435-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SPRING HILL AVE",
            "address_2": "SUITE 100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041407",
            "telephone_number": "251-435-1200",
            "fax_number": "251-435-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "PATRICIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-084380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.