Individual provider Active NPI

Akiko Ishida Makino, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1508322231
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-159141 Issued in AL
Practice address
75 S University Blvd # 6000a
Mobile, AL 36608-3042
Phone
(251) 660-5787
NPI assigned
Feb 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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 1-159141 AL Primary

Addresses

Primary practice location

75 S University Blvd # 6000a
Mobile, AL 36608-3042

Mailing address

6509 Sugar Creek Dr N
Mobile, AL 36695-2734
Phone (323) 947-3380

Other identifiers 1

IdentifierTypeStateIssuer
1-159141OtherALALABAMA BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240205000122 FL Practitioner - Nurse Practitioner 2567705825 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Family Practice LLC CurrentSince Jan 1, 2024 Accepting new patients
University of South Alabama CurrentSince Mar 23, 2019 Accepting new patients
USA Health Physician Billing Services LLC Current Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
University of South Alabama CurrentSince Mar 23, 2019 Accepting new patients
University of South Alabama Current Accepting new patients

Locations

75 S University Blvd
#6000A
Mobile, AL 36608
Phone (251) 660-5787

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

7515 State Road 52
Ste 102
Hudson, FL 34667
Phone (727) 842-3322

1301 2nd Ave SW
Ste 315
Largo, FL 33770
Phone (727) 587-7120

1345 West Bay Dr
Ste 304
Largo, FL 33770
Phone (727) 490-5040

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: akiko.makino@hca4.eclinicaldirectplus.com

Organizations & group practices 7

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": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1508322231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 SUGAR CREEK DR N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366952734",
            "telephone_number": "323-947-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S UNIVERSITY BLVD # 6000A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083042",
            "telephone_number": "251-660-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKINO",
        "first_name": "AKIKO",
        "middle_name": "ISHIDA",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-159141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF NURSING",
            "identifier": "1-159141",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.