ALICIA LAND (NPI# 1922461995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922461995 |
| Entity Type | Individual |
| Full Name | ALICIA LAND |
| Credential | CRNP |
| Practice Address |
6701 Airport Blvd 'b' Bldg., 't' Level Mobile AL 36608-6705 |
| Mailing Address |
29653 Anchor Cross Blvd Daphne AL 36526-9594 |
| Practice Telephone | 2516256896 |
| Practice Fax Number | 2516256897 |
| Mailing Telephone | 2516256896 |
| Mailing Fax Number | 2516256897 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1-080073 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6701 AIRPORT BLVD 'B' BLDG., 'T' LEVEL |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-6705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313312 | Richard O Nenstiel | Physician Assistant | 6701 Airport Blvd, Suite D146, Mobile, AL 36608 | 2005-06-01 |
| 1508392432 | University of South Alabama Health Care Authority | Internal Medicine | 6701 Airport Blvd, A101, Mobile, AL 36608-6705 | 2017-05-11 |
| 1093241671 | Alabama Providence Healthcare Services | Otolaryngology | 6701 Airport Blvd, Suite B123, Mobile, AL 36608-6705 | 2017-05-03 |
| 1588109599 | Citrin Cardiology PC | Internal Medicine | 6701 Airport Blvd, Suite C138, Mobile, AL 36608-3784 | 2016-12-29 |
| 1629511753 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Ste B215, Mobile, AL 36608-6705 | 2016-11-21 |
| 1891245692 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite D143, Mobile, AL 36608-6705 | 2016-10-05 |
| 1386191740 | Leah Ambrose | Physician Assistant | 6701 Airport Blvd, Suite C138, Mobile, AL 36608-6705 | 2016-09-02 |
| 1386093953 | Terra Lynn Parnell | Nurse Practitioner | 6701 Airport Blvd, Suite D-330, Mobile, AL 36608 | 2016-06-06 |
| 1649634395 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite A-t06, Mobile, AL 36608-6705 | 2016-04-08 |
| 1558725200 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite B329, Mobile, AL 36608-6705 | 2016-04-08 |
| 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 | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730720244 | Carl B Regaliza | Nurse Practitioner | 1551 Old Shell Rd, Mobile, AL 36604-1354 | 2019-10-06 |
| 1104471978 | Stephanie Ann Fouts | Nurse Practitioner | 6701 Airport Blvd., B Bldg., T Level, Mobile, AL 36608-3764 | 2019-08-07 |
| 1366004350 | William Augustus Mcmurray Iv | Nurse Practitioner | 2451 University Hospital Dr, Mstn 101, Mobile, AL 36617-2238 | 2019-07-01 |
| 1700343811 | Latricia Deloris Hickenbottom | Nurse Practitioner | 1515 S University Blvd, Mobile, AL 36609-2958 | 2019-02-25 |
| 1508355694 | Deanna Markris | Nurse Practitioner | 1515 S University Blvd, Mobile, AL 36609-2958 | 2018-05-04 |
| 1043748346 | Jennifer Denise Thomas | Nurse Practitioner | 1515 S University Blvd, Mobile, AL 36609-2958 | 2017-05-31 |
| 1922543487 | Denesha Johnson | Nurse Practitioner | 1515 S University Blvd, Mobile, AL 36609-2958 | 2016-12-19 |
| 1518329630 | Dorothy Kastrinos | Nurse Practitioner | 1758 Spring Hill Ave, Mobile, AL 36607-3508 | 2016-03-28 |
| 1104216845 | Kathleen J Ferguson | Nurse Practitioner | 75 S University Blvd, Ucom 6000 A, Mobile, AL 36688-0002 | 2015-02-03 |
| 1487076873 | Michelle Ann Sanford | Nurse Practitioner | 3719 Dauphin St, 5th Floor, Mobile, AL 36608-1753 | 2014-01-20 |
| 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.