Mary Lise Babin, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-089063 Issued in AL

Practice address

1457 Willoughby Cir
Vestavia Hills, AL 35216-2918

Phone

(205) 516-8881

NPI assigned

Jul 5, 2021

Last updated

Jul 5, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24693/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cheaha Adult and Pediatric Medicine

  • Primary Care Clinic/Center
  • Anniston, AL
  • NPI 1972278232
  NPD

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1801467584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 WILLOUGHBY CIR",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162918",
            "telephone_number": "205-516-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 WILLOUGHBY CIR",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162918",
            "telephone_number": "205-516-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABIN",
        "first_name": "MARY",
        "middle_name": "LISE",
        "name_prefix": "Dr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-089063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Armstrong
• Lauren Arnold
• Atia Aroonsakulwongse, PA
• Morgan Daniel Atchison, CRNP
• Jenna Leigh Ayers
• Lashanda Bailey, LPC
• Olivia Leigh Bailey, RBT
• Libby Baines
• Tabitha Baker, BSN, RN, IBCLC
• Ballard Endo, LLC

• Family Nurse Practitioner in Vestavia Hills, AL
• Providers in Vestavia Hills, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.