Tyler Keenum, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-142399 Issued in AL

Practice address

2703 7TH St
Tuscaloosa, AL 35401-1865

Phone

(205) 759-8470

Fax

(205) 366-9001

NPI assigned

May 29, 2017

Last updated

Jan 7, 2026By the provider in NPPES

Sex

Male

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Alabama AIDS Outreach IncGroup PAC ID 7517212376, shared by 3 NPIs, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tyler.keenum.1@30992.direct.athenahealth.com

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.

• Capstone Health Services Foundation PC

  dba University Medical Center

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1740397751
  Medicare reassignment NPD
• West Alabama AIDS Outreach

  dba Five Horizons Health Services

  • General Practice Physician
  • Tuscaloosa, AL
  • NPI 1033637434
  Medicare reassignment NPD
• West Alabama AIDS Outreach Inc

  dba Five Horizons Health Services

  • General Practice Physician
  • Tuscaloosa, AL
  • NPI 1619731361

  Nurse Practitioner

  Medicare reassignment NPD
• Capstone Health Services Foundation PC

  dba University Medical Center Neurology

  • Neurology Physician
  • Tuscaloosa, AL
  • NPI 1255212353
  NPD
• Capstone Health Services Foundation PC

  dba University Medical Center - Northport

  • Multi-Specialty Clinic/Center
  • Northport, AL
  • NPI 1275926719
  NPD
• West Alabama AIDS Outreach Inc

  dba Five Horizons Health Services

  • Infectious Disease Physician
  • Tuscaloosa, AL
  • NPI 1942043070

  Nurse Practitioner

  NPD

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

{
    "created_epoch": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1073041505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 7TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011865",
            "telephone_number": "205-759-8470",
            "fax_number": "205-366-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 7TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011865",
            "telephone_number": "205-759-8470",
            "fax_number": "205-366-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 5th Ave E",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354017419",
            "country_code": "US",
            "telephone_number": "205-348-1770",
            "fax_number": "205-348-7988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 6th St",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354011731",
            "country_code": "US",
            "telephone_number": "205-759-8470",
            "fax_number": "205-366-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENUM",
        "first_name": "TYLER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-29",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-142399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabajyoti Neil Kakati, MD
• Katie Marshall Counseling LLC
• Hima Shreya Katti, MD
• Gopal K Kaza, MD
• Stephanie Leigh Keasler, ADC
• Kimberley R Keller, RPH
• Karen Kelley, CRNP
• Rebecca Wilson Kelley, CRNP
• Marion Kellough, L.C.S.W.
• Bettienne Kelly, LBSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.