Mercy Family Healthcare, Inc

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1-103472 Issued in AL

Legal business name

MERCY FAMILY HEALTHCARE, INC

Practice address

128 Mitylene Park Dr.
Montgomery, AL 36117-3548

Phone

(334) 239-7020

Fax

(334) 239-7034

NPI assigned

May 3, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lilian Ifeoma Akwuba, DNP-CRNP

Title

President

Phone

(334) 239-7020

Specialties & licenses 2

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13659/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1780039297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MITYLENE PARK DR.",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173548",
            "telephone_number": "334-239-7020",
            "fax_number": "334-239-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MITYLENE PARK DR.",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173548",
            "telephone_number": "334-239-7020",
            "fax_number": "334-239-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY FAMILY HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "AKWUBA",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_middle_name": "IFEOMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-239-7020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP-CRNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-103472",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-103472",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.