KATHY BYDALEK (NPI# 1730157934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730157934 |
| Entity Type | Individual |
| Full Name | KATHY BYDALEK |
| Credential | FNP-BC |
| Practice Address |
650 Clinic Dr Trp Bldg. Suite 1200 Mobile AL 36688-3053 |
| Mailing Address |
650 Clinic Dr Trp Bldg. 3 Suite 1200 Mobile AL 36688-3053 |
| Practice Telephone | 2514607151 |
| Practice Fax Number | 2514148227 |
| Mailing Telephone | 2514607151 |
| Mailing Fax Number | 2514148227 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2012-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-058199 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R817185 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00119200 | 05 |
| Street Address |
650 CLINIC DR TRP BLDG. SUITE 1200 |
| City | MOBILE |
| State | AL |
| Zip Code | 36688-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033683420 | Bailey Elizabeth Agee | Student in an Organized Health Care Education/Training Program | 650 Clinic Dr, Mobile, AL 36608 | 2019-01-18 |
| 1588138978 | Willie Nathanael Dunnam | Student in an Organized Health Care Education/Training Program | 650 Clinic Dr, Mobile, AL 36608 | 2019-01-18 |
| 1104372937 | Kevin Nicholas Astle | Pharmacist | 650 Clinic Dr, Mobile, AL 36688-0001 | 2016-08-31 |
| 1053711374 | Kaitlin Mcginn | Pharmacist | 650 Clinic Dr, Rm 2100, Mobile, AL 36688-0001 | 2014-08-25 |
| 1891194296 | Michael Scalese | Pharmacist | 650 Clinic Dr, Room 2100, Mobile, AL 36688-0001 | 2014-08-21 |
| 1063821478 | Nicole Slater | Pharmacist | 650 Clinic Dr, Suite 215, Mobile, AL 36688-0001 | 2014-08-11 |
| 1699182006 | Robert Helmer II | Pharmacist | 650 Clinic Dr, Suite 2100, Mobile, AL 36688-0001 | 2014-07-17 |
| 1609288000 | Southwest Regional Care Facilities, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 650 Clinic Dr, Bldg. 3 Suite 2300, Mobile, AL 36688-0001 | 2014-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144742453 | David Thomas Bailey | Physician Assistant | Univ. of S. Alabama Dept. of Pa Studies, 5721 Usa Drive North - Hahn 3124, Mobile, AL 36688 | 2017-07-10 |
| 1447783766 | Elijah Fox | Student in an Organized Health Care Education/Training Program | 1700 Center St., Cweb 1, Room 1538, Mobile, AL 36688 | 2017-04-04 |
| 1164855805 | Khaled Abdelmagid | Student in an Organized Health Care Education/Training Program | 1700 Center St, Cweb 1, Rm 1538, Mobile, AL 36688 | 2013-08-16 |
| 1154614428 | Karen Marlowe | Pharmacist | 650 Clinic Drive - Suite 2100, Mobile, AL 36688 | 2011-05-19 |
| 1770620239 | Claude Vincent Dwyer IIi | Radiologic Technologist | 307 University, Mobile, AL 36688 | 2007-01-31 |
| 1225661523 | Jacob Rosner | Student in an Organized Health Care Education/Training Program | 5795 Usa Drive North Csab 170, Mobile, AL 36688-0001 | 2020-02-15 |
| 1215569249 | Lisa K. Morris | Nurse Practitioner | 5721 Usa Drive North Hahn 2044, Mobile, AL 36688-0001 | 2020-02-07 |
| 1467014019 | Victoria Suzanne Henbest | Speech-Language Pathologist | 5721 Usa North Drive, Mobile, AL 36688-0001 | 2019-07-03 |
| 1730642513 | Tyler Lee Sturdivant | Clinical Nurse Specialist | 5721 Usa Drive North Hahn 4067, Mobile, AL 36688-0001 | 2019-04-09 |
| 1730648346 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 5870 Alumni Drive, Mobile, AL 36688-0001 | 2019-03-14 |
| Find all providers in zip 36688 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222145 | Robert Adam Vickrey | Nurse Practitioner | 1718 Hunters Ridge Dr W, Mobile, AL 36695-9246 | 2020-07-15 |
| 1588286850 | Brandie Nicole Banks | Nurse Practitioner | 320 Stanton Rd Apt 1517, Mobile, AL 36617-2481 | 2020-05-10 |
| 1215569249 | Lisa K. Morris | Nurse Practitioner | 5721 Usa Drive North Hahn 2044, Mobile, AL 36688-0001 | 2020-02-07 |
| 1679118525 | Hicks Home-based Primary Care, LLC | Nurse Practitioner | 1111 E I65 Service Rd S Ste 210, Mobile, AL 36606-3123 | 2019-11-14 |
| 1417504325 | Jamie Kathryn Turner | Nurse Practitioner | 13080 Oak Forge Dr, Mobile, AL 36608-8782 | 2019-08-25 |
| 1780142653 | Melissa Snow Bryan | Nurse Practitioner | 4937 Langham Pl, Mobile, AL 36619-5201 | 2019-03-08 |
| 1508322231 | Akiko Ishida Makino | Nurse Practitioner | 75 S University Blvd # 6000a, Mobile, AL 36608-3042 | 2019-02-19 |
| 1932674975 | Justin Blake Stokes | Nurse Practitioner | 2050 Michigan Ave., Mobile, AL 36615 | 2018-10-05 |
| 1821590647 | Charleen Jackson | Nurse Practitioner | 2423 Schillinger Rd S Ste 103, Mobile, AL 36695-4142 | 2018-03-07 |
| 1265949200 | Jennifer Jennings Davis | Nurse Practitioner | 2451 Fillingim Street Suite 10-i, Mobile, AL 36617-2293 | 2017-12-29 |
| 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.