PATRICIA K NOONAN (NPI# 1093717894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093717894 |
| Entity Type | Individual |
| Full Name | PATRICIA K NOONAN |
| Credential | CRNP |
| Practice Address |
1015 Montlimar Dr Mobile AL 36609-1713 |
| Mailing Address |
5750a Southland Dr Mobile AL 36693-3316 |
| Practice Telephone | 2516602360 |
| Practice Fax Number | 2516627297 |
| Mailing Telephone | 2516602360 |
| Mailing Fax Number | 2516627297 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2016-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 1-091584 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-091584 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-09158 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043701881 | Patricia Noonan | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-05-29 |
| 1750872180 | Patricia Noonan | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2018-05-21 |
| 1184090151 | Patricia Noonan | Counselor | 30 E 22nd St, Apt 1, Bayonne, NJ 07002-3709 | 2015-08-13 |
| 1629493408 | Patricia Noonan | Optometrist | 12910 State Route 664 S, Logan, OH 43138-8564 | 2014-03-03 |
| 1104149244 | Patricia J Noonan | Case Manager/Care Coordinator | 55475 Santa Fe Trl, Yucca Valley, CA 92284-3117 | 2010-03-03 |
| 1487731782 | Patricia E Noonan | Clinical Nurse Specialist | 10950 W Capitol Dr, Wauwatosa, WI 53222-1110 | 2006-11-01 |
| 1992711832 | Patricia Louise Noonan | Social Worker | 19747 Greenley Rd, Sonora, CA 95370-5998 | 2006-07-31 |
| 1649229329 | Patricia Lynn Noonan | Occupational Therapist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2006-05-09 |
| Street Address |
1015 MONTLIMAR DR |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830781 | Shannon Lewis | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2020-01-21 |
| 1073021101 | Ashley Blount | Counselor | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2018-01-10 |
| 1205340056 | Chereta Alina Beverly | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2017-11-30 |
| 1134630205 | Alicia Todd | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2017-10-17 |
| 1730612086 | Maridith Hollis | Student in an Organized Health Care Education/Training Program | 1015 Montlimar Dr, Ste A-210, Mobile, AL 36609-1713 | 2017-04-04 |
| 1992237721 | Bradley Brooks | Student in an Organized Health Care Education/Training Program | 1015 Montlimar Dr, Ste A-210, Mobile, AL 36609-1713 | 2017-03-30 |
| 1134588734 | University of South Alabama | Psychiatry & Neurology | 1015 Montlimar Dr, Ste A-210, Mobile, AL 36609-1713 | 2016-02-11 |
| 1346605714 | Kelley Wilson | Psychologist | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2015-12-29 |
| 1184089369 | Dedra Delphine Terry | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609 | 2015-12-15 |
| 1033595434 | Shanthi Gatla | Psychiatry & Neurology | 1015 Montlimar Dr, A-210, Mobile, AL 36609-1713 | 2015-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
| 1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
| 1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
| Find all providers in zip 36609 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467628693 | Sheila Bouler | Nurse Practitioner | 3930 Airport Blvd, Suite F, Mobile, AL 36608-1692 | 2008-05-07 |
| 1043244189 | Lisa Jan Seay | Nurse Practitioner | 6554 Hounds Run N, Mobile, AL 36608-5407 | 2006-07-11 |
| 1992331573 | Krystal Nicole Smith | Nurse Practitioner | 3737 Government Blvd Ste 203, Mobile, AL 36693-4310 | 2020-03-16 |
| 1174156103 | Beverly Joyce Ales | Nurse Practitioner | 3209 Midtown Park S, Mobile, AL 36606-4126 | 2020-02-18 |
| 1942830781 | Shannon Lewis | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2020-01-21 |
| 1851941397 | Kina Cousin Hooks | Nurse Practitioner | 3209 Midtown Park S, Mobile, AL 36606-4126 | 2019-09-17 |
| 1831656701 | Kiwana Trechelle Brooks | Nurse Practitioner | 2400 Gordon Smith Dr, Mobile, AL 36617 | 2019-02-26 |
| 1184125445 | Tammy Hoadley Lee | Nurse Practitioner | 735 S Washington Ave, Mobile, AL 36603-1301 | 2018-02-22 |
| 1205340056 | Chereta Alina Beverly | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2017-11-30 |
| 1134630205 | Alicia Todd | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2017-10-17 |
| Find all providers in MOBILE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.