MARY LOU QUATTLEBAUM (NPI# 1639152994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639152994 |
| Entity Type | Individual |
| Full Name | MARY LOU QUATTLEBAUM |
| Credential | CRNP |
| Practice Address |
751 Pleasant Row Nw Huntsville AL 35816-2537 |
| Mailing Address |
Po Box 18488 Huntsville AL 35804-8488 |
| Practice Telephone | 2565336311 |
| Practice Fax Number | 2565360801 |
| Mailing Telephone | 2565336311 |
| Mailing Fax Number | 2565360801 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2013-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
1076934 | AL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 891010260 | 05 | |
| AL | BCBS OF AL | 51530690 | 01 |
| Street Address |
751 PLEASANT ROW NW |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35816-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427902 | Annemarie H Witmer | Nurse Practitioner | 751 Pleasant Row Nw, Huntsville, AL 35816-2537 | 2005-06-17 |
| 1518567650 | Central North Alabama Health Services, Inc. | Dentist | 751 Pleasant Row Nw, Huntsville, AL 35816-2537 | 2020-10-28 |
| 1487254520 | Central North Alabama Health Services, Inc. | Chiropractor | 751 Pleasant Row Nw, Huntsville, AL 35816-2537 | 2020-10-28 |
| 1609488899 | Adrian Cannon | Pharmacist | 751 Pleasant Row Nw, Huntsville, AL 35816-2537 | 2020-08-19 |
| 1871015776 | Claudette Lusan | Nurse Practitioner | 751 Pleasant Row Nw, Huntsville, AL 35816-2537 | 2017-07-12 |
| 1558685339 | Jeannifer P Castaneda-tan | Dentist | 751 Pleasant Row Nw, Huntsville, AL 35816-2537 | 2010-03-23 |
| 1255530457 | Susan J. Stephens | Dietitian, Registered | 751 Pleasant Row Nw, Huntsville, AL 35816-2537 | 2007-07-17 |
| 1336363613 | Cynthia M Turner | Contractor | 751 Pleasant Row Nw, Huntsville, AL 35816-2537 | 2007-04-11 |
| 1316018559 | Cynthia S. Wallace | Dental Hygienist | 751 Pleasant Row Nw, Huntsville, AL 35816-2537 | 2006-11-10 |
| 1730250978 | Robert A. Toney | Dentist | 751 Pleasant Row Nw, Huntsville, AL 35816-2537 | 2006-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068076 | Sarah Jean | Nurse Practitioner | 1610 Ben Graves Drive Nw, Huntsville, AL 35816 | 2020-03-13 |
| 1629553482 | Journey To New Beginnings | Social Worker | 2901 Fairbanks Drive, Huntsville, AL 35816 | 2018-09-27 |
| 1588173611 | Melissa Anne Carter | Registered Nurse | 4820 University Sq, Huntsville, AL 35816 | 2017-09-20 |
| 1902335326 | Matthew Gallien | Massage Therapist | 1200 Jordan Lane Suite 2, Huntsville, AL 35816 | 2017-06-08 |
| 1891242962 | Advantage Health Solutions,llc | Family Medicine | 4820 University Dr Ste 35, Huntsville, AL 35816 | 2016-09-07 |
| 1396291027 | Advantage Health Solutions,llc | Family Medicine | 4820 University Dr Ste 18, Huntsville, AL 35816 | 2016-09-01 |
| 1861726085 | Earl Williams | Massage Therapist | 4920 University Square, Suite D, Huntsville, AL 35816 | 2009-09-21 |
| 1114106234 | James Kennedy Olszewski | Chiropractor | 2417 Jordan Ln., Huntsville, AL 35816 | 2007-10-25 |
| 1932293180 | Jacquelyn Olivia Collins | Optometrist | 4925 University Drive Nw, Suite 102, Huntsville, AL 35816 | 2006-10-03 |
| 1912006735 | American Family Care, Inc. | General Practice | 4550 University Drive, Huntsville, AL 35816 | 2006-09-21 |
| Find all providers in zip 35816 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144883232 | Kay-ann Nickeisha Mclean | Registered Nurse | 250 Chateau Dr Sw Ste 215, Huntsville, AL 35801-3497 | 2019-04-15 |
| 1427555044 | Taylor Gayle Melvin | Registered Nurse | 2616 Jordan Ln Nw, Huntsville, AL 35816-1014 | 2018-04-10 |
| 1447784574 | Tanesha Sorkpor | Registered Nurse | 264 Fm 3478 Rd, Huntsville, TX 77320-3322 | 2017-04-15 |
| 1972924322 | Olanike Agbale | Registered Nurse | 119 Medical Park Ln Ste D, Huntsville, TX 77340-4980 | 2014-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900557 | Shean Polony | Registered Nurse | 138 Bridgemill Ave, Madison, AL 35756-2619 | 2020-10-23 |
| 1932729399 | Amelia Garrett Williamson | Registered Nurse | 1813 Le Grande Dr, Mobile, AL 36618-1622 | 2020-04-25 |
| 1053950337 | Deanna Brewer Morrison | Registered Nurse | 535 Jack Warner Pkwy Ne Ste K, Tuscaloosa, AL 35404-5715 | 2020-01-03 |
| 1053833855 | Robin J Marks | Registered Nurse | 5332 Wilhelm Dr, Mobile, AL 36618-2428 | 2017-07-13 |
| 1255720348 | Angela Rene' Pontius | Registered Nurse | Zrb 239, 1720 2nd Avenue South, Birmingham, AL 35294-0007 | 2015-01-13 |
| 1477804425 | Lucille Denise Rudolph | Registered Nurse | 659 Oak Hill Rd, Mobile, AL 36609-5914 | 2012-09-29 |
| 1932491131 | Ramsey Paulk Shubert | Registered Nurse | 340 Cox Blvd, Sheffield, AL 35660-4020 | 2011-05-05 |
| 1366043226 | Tiffany Sanquits Fields | Registered Nurse | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-11-05 |
| 1568061422 | Genesis Morgan | Registered Nurse | 1802 6th Ave S, Birmingham, AL 35233-1932 | 2020-10-21 |
| 1023617016 | Latoshia Donald | Registered Nurse | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | HUNTSVILLE |
| Zip Code | 35816 |
Please comment or provide details below to improve the information on MARY LOU QUATTLEBAUM.
| 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.