Mary Ann Pate, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-067016 Issued in AL

Practice address

1504 Springhill Ave
Mobile, AL 36604-3207

Phone

(251) 434-3475

Fax

(251) 434-3837

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Grand Bay Medical Center, Inc.

  • Rural Health Clinic/Center
  • Grand Bay, AL
  • NPI 1558570978
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1700825502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-470-5842",
            "fax_number": "251-470-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 SPRINGHILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366043207",
            "telephone_number": "251-434-3475",
            "fax_number": "251-434-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-067016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05420342",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51532878",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward James Pashayan II, FNP
• Joe Pasquariello
• Passionate Healthcare LLC
• Brianne Pate, PHARMD
• David N. Pate, M.D.
• Archit Sureshchandra Patel
• Ashley Patel
• Dhruvika Patel
• Diya Nikunj Patel
• Diya Shailesh Patel

• Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.