Individual provider Active NPI

Kimberly Boyd, CRNP

  • Family Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1043090285
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-127070 Issued in AL
Practice address
115 Harper Court
Tuscaloosa, AL 35401
Phone
(205) 366-3010
Fax
(205) 366-3012
NPI assigned
Oct 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-127070 AL
Family Medicine Physician 207Q00000X 1-127070 AL Primary

Addresses

Primary practice location

115 Harper Court
Tuscaloosa, AL 35401

Mailing address

PO Box 21231
Tuscaloosa, AL 35402
Phone (205) 366-3010

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240201002645 AL Practitioner - Nurse Practitioner 5799138186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health BD of Bibb Pickens and Tuscaloosa Counties CurrentSince Dec 19, 2023 Accepting new patients
State of Alabama Dept of Finance PastSince Aug 17, 2025 Accepting new patients

Locations

1401 Greensboro Ave
Tuscaloosa, AL 35401
Phone (205) 391-3131

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1043090285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21231",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35402",
            "telephone_number": "205-366-3010",
            "fax_number": "205-366-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HARPER COURT",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-366-3010",
            "fax_number": "205-366-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2025-07-24",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-127070",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-127070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.