MRS. MARCIE BANKSTON MCPHILLIPS (NPI# 1912409053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912409053 |
Entity Type | Individual |
Full Name | MRS. MARCIE BANKSTON MCPHILLIPS |
Credential | CRNP |
Practice Address |
3719 Dauphin St Mobile AL 36608-1753 |
Mailing Address |
5120 Lods Field Rd Grand Bay AL 36541-3100 |
Practice Telephone | 2513449630 |
Mailing Telephone | 2513774559 |
Enumeration Date | 2018-03-05 |
Last Update Date | 2018-03-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-136202 | AL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | HEALTH INSURANCE | 1-136202 | 01 |
AL | 1-136202 | 05 |
Street Address |
3719 DAUPHIN ST |
City | MOBILE |
State | AL |
Zip Code | 36608-1753 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477556082 | Robert Machel Weinacker IIi | Specialist | 3719 Dauphin St, Suite 100, Mobile, AL 36608-1753 | 2005-05-27 |
1013531367 | Matt Donald Paulson | Radiologic Technologist | 3719 Dauphin St, Mobile, AL 36608-1753 | 2020-06-02 |
1932721875 | Laurie Anne Lindsey | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608-1753 | 2020-05-14 |
1730715525 | Kathryn Dale West | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608-1753 | 2020-03-12 |
1275163503 | Nina Wilson Smelley | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608-1753 | 2020-01-26 |
1346802808 | Allie Moore | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608-1753 | 2019-07-05 |
1023675584 | Allie Laura Haynes | Physician Assistant | 3719 Dauphin St, Mobile, AL 36608-1753 | 2019-05-21 |
1093285611 | Charmaine Diane Harris | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608 | 2018-11-26 |
1144713165 | Joy Vigneulle | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608-1753 | 2018-06-13 |
1568954816 | William Lawrence Gafford IIi | Nurse Anesthetist, Certified Registered | 3719 Dauphin St, Mobile, AL 36608-1753 | 2018-06-02 |
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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 | 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 |
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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.