MRS. HOLLI KATHLEEN BEALL (NPI# 1700175106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700175106 |
| Entity Type | Individual |
| Full Name | MRS. HOLLI KATHLEEN BEALL |
| Other Name | MRS. HOLLI KATHLEEN BURNETT |
| Credential | APN |
| Practice Address |
124 S University Blvd Ste A Mobile AL 36608-3078 |
| Mailing Address |
P O Box 850849 Mobile AL 36685-0849 |
| Practice Telephone | 2513435004 |
| Practice Fax Number | 2513438383 |
| Mailing Telephone | 2513435004 |
| Mailing Fax Number | 2513438383 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2017-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-144789 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
A03525 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
124 S UNIVERSITY BLVD STE A |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-3078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861477507 | Nephrology Associates of Mobile, P.a. | Specialist | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2005-12-14 |
| 1447742705 | Mindy E Childs | Nurse Practitioner | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2018-06-02 |
| 1194182642 | James Collier IIi | Nurse Practitioner | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2016-01-27 |
| 1285996694 | Elizabeth Marie Anderson | Internal Medicine | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2012-06-12 |
| 1134488521 | Ryan Tulowitzki | Internal Medicine | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2012-05-07 |
| 1588952493 | Purnima Rani Tripathy | Internal Medicine | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2011-07-12 |
| 1710115977 | Saadur Rahman | Internal Medicine | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2009-06-26 |
| 1558534933 | Nephrology Associates of Mobile, Pa | Nurse Practitioner | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2008-04-08 |
| 1063602449 | Jesse Michael Corbello | Specialist | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2007-07-31 |
| 1528269321 | Christine Avinger | Registered Nurse | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519091 | Latresa Chaval Davis | Nurse Practitioner | 3737 Government Blvd Ste 408, Mobile, AL 36693-4362 | 2020-08-19 |
| 1124659487 | Shanita Peoples | Nurse Practitioner | 23 Midtown Park W Ste B-1, Mobile, AL 36606-4139 | 2020-01-27 |
| 1528327517 | Shera Annette Butt | Nurse Practitioner | 2060 Autumn Leaf Dr W, Mobile, AL 36695-8494 | 2012-05-10 |
| 1780975680 | Ashley Monique Flanagan | Nurse Practitioner | 11 N Water St Fl 10, Mobile, AL 36602-5010 | 2011-04-26 |
| 1487672465 | Tammy Lynn Pugh | Nurse Practitioner | 3 Mobile Infirmary Cir Ste 305, Building B, Suite 118, Mobile, AL 36607-3515 | 2006-07-17 |
| 1821642372 | Kathryn S Coletta | Nurse Practitioner | 100 Memorial Hospital Dr Ste 2a, Mobile, AL 36608-1199 | 2019-08-01 |
| 1083267967 | Mary Pearce Benfield | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2019-07-19 |
| 1093272874 | Lawanda S Fantroy | Nurse Practitioner | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2019-02-27 |
| 1447724935 | Jennifer Hansmann Umbarger | Nurse Practitioner | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2019-01-17 |
| 1750863726 | Amy Rebecca Odom | Nurse Practitioner | 100 Memorial Hospital Dr Ste 1a, Mobile, AL 36608-1128 | 2018-09-05 |
| 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.