Individual provider Active NPI

Willie N. Myers, LPN

  • Licensed Practical Nurse
  • Mobile, AL
National Provider Identifier
1497623995
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
2-030195 Issued in AL
Practice address
1200B Spring Hill Ave
Mobile, AL 36604-2718
Phone
(251) 405-3677
Fax
(251) 405-3233
NPI assigned
Oct 27, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2-030195 AL Primary

Addresses

Primary practice location

1200B Spring Hill Ave
Mobile, AL 36604-2718

Mailing address

PO Box 41241
Mobile, AL 36640-1241
Phone (251) 405-3677

Other practice location 1

1200A Spring Hill Ave
Mobile, AL 36604-2718
Phone (251) 405-3677

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
2-030195ALMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Veterans Recovery Resources CurrentSince Nov 8, 2025 Accepting new patients
Veterans Recovery Resources CurrentSince Nov 8, 2025 Accepting new patients

Locations

1200B Spring Hill Ave
Mobile, AL 36604
Phone (251) 405-3677

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": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1497623995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41241",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366401241",
            "telephone_number": "251-405-3677",
            "fax_number": "251-405-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200B SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042718",
            "telephone_number": "251-405-3677",
            "fax_number": "251-405-3233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200A Spring Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366042718",
            "country_code": "US",
            "telephone_number": "251-405-3677",
            "fax_number": "251-405-3233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "WILLIE",
        "middle_name": "N.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AL",
            "license": "2-030195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.