Individual provider Active NPI

Kimberly Nicole Stewart, CRNP

  • Family Nurse Practitioner
  • Hueytown, AL
National Provider Identifier
1073002408
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-107152 Issued in AL
Practice address
3029 Allison Bonnett Memorial Dr Ste 107
Hueytown, AL 35023-2469
Phone
(205) 436-8270
Fax
(205) 436-8275
NPI assigned
May 1, 2018
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-107152 AL Primary

Addresses

Primary practice location

3029 Allison Bonnett Memorial Dr Ste 107
Hueytown, AL 35023-2469

Mailing address

3029 Allison Bonnett Memorial Dr Ste 107
Hueytown, AL 35023-2469
Phone (205) 436-8270

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
I20180927000802 AL Practitioner - Nurse Practitioner 5597016774 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

2731 Allison Bonnett Memorial Dr
Hueytown, AL 35023-1854
Phone (205) 548-4102

416 N Seminary St
Suite 1100
Florence, AL 35630-6411
Phone (931) 253-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 21, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Southern NP Associates, LLC CurrentSince Oct 31, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 21, 2025 Accepting new patients
Stopwatch Urgent Care Centers LLC CurrentSince Dec 12, 2024 Accepting new patients

Locations

2415 Moores Mill Rd
Unit 230
Auburn, AL 36830
Phone (334) 502-1117

22969 Highway 25
Columbiana, AL 35051
Phone (205) 669-1712

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038

2400 Hospital Dr
Northport, AL 35476
Phone (205) 330-8412

931 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 343-7301

1505 E 4th Ave
York, AL 36925
Phone (205) 392-5281

Interoperability endpoints

  • Direct secure messaging: kimberly.stewart.medcenternorth@mcn.direct.systemedx.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1073002408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 ALLISON BONNETT MEMORIAL DR STE 107",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232469",
            "telephone_number": "205-436-8270",
            "fax_number": "205-436-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 ALLISON BONNETT MEMORIAL DR STE 107",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232469",
            "telephone_number": "205-436-8270",
            "fax_number": "205-436-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KIMBERLY",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-107152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hueytown, AL

Sources for this page

Verify at the official NPI Registry.