Mary Barros, CRNP
Individual provider Active NPI Family Nurse Practitioner · Mobile, AL
NPI 1922464288 · NPPES record last updated Jan 1, 2016
Key facts
- NPI
- 1922464288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F1215333 (AL)
- Practice address
- 2451 Fillingim St
Mobile, AL 36617-2238 - Phone
- (251) 471-7300
- NPI assigned
- Jan 1, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160315002793 | AL | Practitioner - Nurse Practitioner | 0840596987 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1215333 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of South Alabama | Current | Accepting new patients | |
| University of South Alabama Mitchell Cancer Institute | Current |
Accepting new patients | |
| University of South Alabama | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current |
Accepting new patients | |
| University of South Alabama | Current |
Accepting new patients | |
| USA Health Physician Billing Services LLC | Current |
Accepting new patients |
Locations
1700 Center St
Mobile, AL 36604
Phone (251) 415-1000
2451 Fillingim St
Ste 10L
Mobile, AL 36617
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
2451 University Hospital Dr
Mobile, AL 36617
Phone (251) 471-7000
1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F1215333 | AL | Yes |
Addresses
Primary practice location
2451 Fillingim St
Mobile, AL 36617-2238
Mailing address
311 Azalea Cir W
Mobile, AL 36608-2763
Phone (251) 490-5519
NPI Registry JSON
{
"created_epoch": "1451606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451606400000",
"number": "1922464288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 AZALEA CIR W",
"city": "MOBILE",
"state": "AL",
"postal_code": "366082763",
"telephone_number": "251-490-5519"
},
{
"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": "251-471-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARROS",
"first_name": "MARY",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-01",
"last_updated": "2016-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "F1215333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
- Danyale Melissa Barrett
- Dyneisha Barrett
- Haley Morgan Barrett
- Claudia C Barrios
- Debrinia Nicole Barron
- Laura Brooke Barry
- Tracy Bartel
- Kristen Barton
- Tejay Wayne Barton
- Wilhelm Sebastian Basegoda Curiel
All providers in Mobile, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.