Individual provider Active NPI

Pamela Latrese Pickens-Taylor, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1669016713
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-115707 Issued in AL
Practice address
4300 Old Shell Rd Ste a
Mobile, AL 36608-2036
Phone
(251) 634-4589
Fax
(833) 973-2635
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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 1-115707 AL Primary

Addresses

Primary practice location

4300 Old Shell Rd Ste a
Mobile, AL 36608-2036

Mailing address

4300 Old Shell Rd
Mobile, AL 36608-2048
Phone (251) 634-4589

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
I20200330001093 AL Practitioner - Nurse Practitioner 0840629713 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama CurrentSince Feb 1, 2020 Accepting new patients
University of South Alabama CurrentSince Feb 1, 2020 Accepting new patients
University of South Alabama Health Care Authority CurrentSince Jul 1, 2021 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Feb 2, 2020 Accepting new patients
University of South Alabama Current Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Feb 2, 2020 Accepting new patients
Signify Health, LLC CurrentSince May 6, 2022 Accepting new patients
USA Health Community Providers LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

4300 Old Shell Rd
Mobile, AL 36608
Phone (251) 342-7880

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

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

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

4300 Old Shell Rd
Ste A
Mobile, AL 36608
Phone (251) 342-9928

1601 Center St
Mobile, AL 36604
Phone (251) 410-5437

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

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: pamela.taylor.5@16253.direct.athenahealth.com

Organizations & group practices 8

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": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1669016713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082048",
            "telephone_number": "251-634-4589",
            "fax_number": "833-973-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 OLD SHELL RD STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082036",
            "telephone_number": "251-634-4589",
            "fax_number": "833-973-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKENS-TAYLOR",
        "first_name": "PAMELA",
        "middle_name": "LATRESE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-115707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.