MARY BETH BODIN (NPI# 1912329095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912329095 |
| Entity Type | Individual |
| Full Name | MARY BETH BODIN |
| Credential | DNP, CRNP |
| Practice Address |
809 University Blvd E Tuscaloosa AL 35401-2029 |
| Mailing Address |
2006 Fairmont Dr Tuscaloosa AL 35405-1755 |
| Practice Telephone | 2057597690 |
| Mailing Telephone | 2056572985 |
| Mailing Fax Number | 2055568462 |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
1-035764 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
809 UNIVERSITY BLVD E |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751226 | Helena T Buchalter | Pathology | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2005-06-27 |
| 1548873045 | Jerome Edwards | Pharmacy Technician | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-08-25 |
| 1215552021 | Lauren Kyzar | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-06-08 |
| 1912532664 | Clint Winfield Miller | Nurse Anesthetist, Certified Registered | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-03-03 |
| 1124667332 | James Lewis Fenley IIi | Registered Nurse | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-01-06 |
| 1609418342 | Joshua Wayne Bankston | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2019-10-15 |
| 1821651589 | Jenna L Gaut | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2019-04-18 |
| 1881150738 | Tyler Matthew Elmore | Nurse Anesthetist, Certified Registered | 809 University Blvd E, Tuscaloosa, AL 35401-2071 | 2019-02-15 |
| 1093282691 | Courtney Hendrix | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2018-11-01 |
| 1841766375 | Haley Tipps | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2018-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326460411 | Melissa Carol Bush | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2014-01-09 |
| 1568884575 | James Ross Alexander | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2014-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336548247 | Janet Elizabeth Skinner | Nurse Practitioner | 1601 5th Avenue South, Nicu-6th Floor, Birmingham, AL 35233 | 2014-08-15 |
| 1386066389 | Robin D Martin | Nurse Practitioner | 1460 Shades Crest Rd, Hoover, AL 35226-3120 | 2014-01-09 |
| 1265790620 | Barbara Brutkiewicz | Nurse Practitioner | 316 Long Ct, Mobile, AL 36608-2497 | 2012-04-24 |
| 1942504642 | Melanie R. Sparks | Nurse Practitioner | 1700 6th Ave. South, Wic Suite 2342, Birmingham, AL 35249 | 2011-01-10 |
| 1891931192 | Sherry Morris Stough | Nurse Practitioner | 1608 Great Pine Rd, Birmingham, AL 35235-2819 | 2008-12-17 |
| 1154952547 | Lauren D Morgan | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2020-02-04 |
| 1962049569 | Teresa Ann Champion | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2019-12-03 |
| 1841849080 | Stephanie L Johnson | Nurse Practitioner | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2019-09-10 |
| 1730641101 | Kerri Hamilton Jones | Nurse Practitioner | 400 Taylor Rd, Montgomery, AL 36117-3511 | 2019-04-03 |
| 1356811707 | Tommi Webb | Nurse Practitioner | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2018-11-28 |
| Find all providers with the same taxonomy | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
Please comment or provide details below to improve the information on MARY BETH BODIN.
| 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.