Kimberly L Buckalew, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1058194 Issued in AL

Practice address

209 Main St
Wedowee, AL 36278-5139

Phone

(256) 357-2111

Fax

(256) 357-0175

NPI assigned

Mar 27, 2008

Last updated

Mar 27, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Helms Healthcare IncGroup PAC ID 2769907831, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Helms Healthcare, Inc

  • Family Medicine Physician
  • Vincent, AL
  • NPI 1124824446
  Medicare reassignment Care Compare group
• Anniston Careplus, LLC

  • Family Medicine Physician
  • Anniston, AL
  • NPI 1295275139
  Medicare reassignment NPD
• Quality of Life Health Services Inc

  dba Quality of Life Health Complex

  • Community Health Clinic/Center
  • Gadsden, AL
  • NPI 1447200977
  Medicare reassignment NPD
• Keel and Associates

  • General Practice Physician
  • Oxford, AL
  • NPI 1720136443
  NPD
• Quality of Life Health Services, Inc

  dba Calhoun Quality Health Care

  • Federally Qualified Health Center (FQHC)
  • Anniston, AL
  • NPI 1013339209
  NPD
• Quality of Life Health Services, Inc

  dba Cleburne Quality Health Care

  • Federally Qualified Health Center (FQHC)
  • Heflin, AL
  • NPI 1467620989
  NPD
• Quality of Life Health Services, Inc

  dba Wadley Cornerstone Clinic

  • Rural Health Clinic/Center
  • Wadley, AL
  • NPI 1699919779
  NPD
• Careplus Family Medical, LLC

  • Family Medicine Physician
  • Albertville, AL
  • NPI 1639503055
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1013189398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MAIN ST",
            "city": "WEDOWEE",
            "state": "AL",
            "postal_code": "362785139",
            "telephone_number": "256-357-2111",
            "fax_number": "256-357-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MAIN ST",
            "city": "WEDOWEE",
            "state": "AL",
            "postal_code": "362785139",
            "telephone_number": "256-357-2111",
            "fax_number": "256-357-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKALEW",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1058194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed Ahmed, MD
• Kay Baker, MS
• Christy Lee Bolt, PHARM D
• Carrollton Surgical Group, P. a.
• Shanda Cotney, CRNP
• Richard Daniel, CRNP
• DMTT LLC (H&M Drugs)
• DMTT LLC (H&M Drugs)

• Nurse Practitioner in Wedowee, AL
• Providers in Wedowee, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.