Active NPI
Kellie Boyles Eggl, CRNP
- Acute Care Nurse Practitioner
- Mobile, AL
National Provider Identifier
1811245186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1-104315
- Practice address
- 2451 Fillingim St
Mobile, AL 36617-2238 - Phone
- (251) 471-7000
- NPI assigned
- Aug 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1-104315 | AL | Primary |
Addresses
Primary practice location
2451 Fillingim St
Mobile, AL 36617-2238
Mailing address
123 Mohawk St
Mobile, AL 36606-1941
Phone (251) 689-8099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-104315 | AL | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345161600000",
"number": "1811245186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 MOHAWK ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366061941",
"telephone_number": "251-689-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 FILLINGIM ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366172238",
"telephone_number": "251-471-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGL",
"first_name": "KELLIE",
"middle_name": "BOYLES",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-17",
"last_updated": "2012-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AL",
"license": "1-104315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.