Active NPI
Michelle Tomlinson, CRNP
- Family Nurse Practitioner
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-082723
- Practice address
- 251 N Bayou St
Mobile, AL 36603-5827 - Phone
- (251) 690-8158
- Fax
- (251) 690-8853
- NPI assigned
- Jul 22, 2006
- Last updated
- Oct 4, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-082723 | AL | Primary |
Addresses
Primary practice location
251 N Bayou St
Mobile, AL 36603-5827
Mailing address
PO Box 2867
Mobile, AL 36652-2867
Phone (251) 690-8158
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 630000013 | Other | AL | MEDICAID |
| 011846 | Other | AL | MEDICARE GROUP NUMBER |
| 631300094 | Medicaid | AL | |
| 1063439065 | Other | AL | NPI SITE GROUP PAYEE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8002 Grelot Rd
Mobile, AL 36695-8976
Phone (205) 343-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-082723 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern NP Associates, LLC | Current | Accepting new patients | |
| Community Care Health Network LLC | Current | Accepting new patients | |
| Franklin Primary Health Center Inc. | Current | Accepting new patients |
Locations
22969 Highway 25
Columbiana, AL 35051
Phone (205) 669-1712
1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646
1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603
148 Tuscaloosa St
Mobile, AL 36607
Phone (251) 435-1300
8002 Grelot Rd
Mobile, AL 36695
Phone (251) 435-1300
1 Perimeter Park S
Ste 100N
Mountain Brook, AL 35243
Phone (205) 936-2356
931 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 343-7301
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
Organizations & group practices 3
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.
-
- Adult Health Nurse Practitioner
- Tuscaloosa, AL
- NPI 1407257447
-
dba Matrix Medical Network
- Nurse Practitioner
- Nashville, TN
- NPI 1619368842
AL, MS
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1679532303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1821019829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2867",
"city": "MOBILE",
"state": "AL",
"postal_code": "366522867",
"telephone_number": "251-690-8158",
"fax_number": "251-690-8853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 N BAYOU ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366035827",
"telephone_number": "251-690-8158",
"fax_number": "251-690-8853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMLINSON",
"first_name": "MICHELLE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-082723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "630000013",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "011846",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "631300094",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI SITE GROUP PAYEE NUMBER",
"identifier": "1063439065",
"state": "AL"
}
],
"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 Oct 4, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.