Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Austin Vivar, CRNP

Individual provider Family Nurse Practitioner · NPI 1407617848

Austin Vivar, CRNP is a Nurse Practitioner in Mobile, Alabama. Qualified in 2023, 3 years ago. Practices with Imc-Diagnostic and Medical Clinic LLC, a 168-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
3
Licensed in
AL
In the registry since
2024
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1700 Spring Hill Ave
Mobile, AL 36604-1407
Phone: (251) 435-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 — (251) 435-2400

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-159379 (AL)

Record details

NPI number1407617848
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Imc-Diagnostic And Medical Clinic Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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