MR. TYLER LEE STURDIVANT (NPI# 1730642513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730642513 |
Entity Type | Individual |
Full Name | MR. TYLER LEE STURDIVANT |
Credential | MSN, RN, AGCNS-BC |
Practice Address |
5721 Usa Drive North Hahn 4067 Mobile AL 36688-0001 |
Mailing Address |
3305 Franklin Ct Mobile AL 36618-4275 |
Practice Telephone | 2513413007 |
Mailing Telephone | 3344569747 |
Enumeration Date | 2019-04-09 |
Last Update Date | 2019-04-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364S00000X | Clinical Nurse Specialist | 1-140692 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5721 USA DRIVE NORTH HAHN 4067 |
City | MOBILE |
State | AL |
Zip Code | 36688-0001 |
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 |
1730648346 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 5870 Alumni Drive, Mobile, AL 36688-0001 | 2019-03-14 |
1780155374 | Michael Hlavaty | Specialist/Technologist | 591 Joseph E Gottfriend Dr, Mobile, AL 36688-0001 | 2018-12-08 |
Find all providers in zip 36688 |
Taxonomy Code | 364S00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891278354 | Debra Phillips | Clinical Nurse Specialist | 300 Twining St, Montgomery, AL 36112-6027 | 2018-09-11 |
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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.