NPIMap

Organization Active NPI

Healthsource of Mobile 1 LLC

Doing business as Healthsource of West Mobile

  • Chiropractor
  • Mobile, AL
National Provider Identifier
1841566205
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2359 Issued in AL
Legal business name
HEALTHSOURCE OF MOBILE 1 LLC
Doing business as
Healthsource of West Mobile
Practice address
740 Schillinger Rd S
Ste 2B
Mobile, AL 36695-8931
Phone
(251) 633-3839
Fax
(251) 633-4481
NPI assigned
Mar 29, 2012
Last updated
Apr 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Ms. Quinn E Kennedy, DCNPI 1083980692
Title
DC
Phone
(251) 597-8832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2359 AL Primary

Addresses

Primary practice location

740 Schillinger Rd S
Ste 2B
Mobile, AL 36695-8931

Mailing address

740 Schillinger Rd S
Ste 2B
Mobile, AL 36695-8931
Phone (251) 633-3839

Other names 1

  • Healthsource of West Mobile Doing business as

National Provider Directory

National Provider Directory

Locations

740 Schillinger Rd S
Ste B2
Mobile, AL 36695
Phone (251) 633-3839

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1841566205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 SCHILLINGER RD S",
            "address_2": "STE 2B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366958931",
            "telephone_number": "251-633-3839",
            "fax_number": "251-633-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 SCHILLINGER RD S",
            "address_2": "STE 2B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366958931",
            "telephone_number": "251-633-3839",
            "fax_number": "251-633-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF MOBILE 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "QUINN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "251-597-8832",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthsource of West Mobile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 26, 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.

Verify at the official NPI Registry.