Individual provider Active NPI

Kristy Elaine Parrish, AANP, FNP-C

  • Family Nurse Practitioner
  • Athens, AL
National Provider Identifier
1114412525
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-128352 Issued in AL
Practice address
700 W Market St
Athens, AL 35611-2422
Phone
(256) 233-9292
NPI assigned
Jun 27, 2018
Last updated
Jun 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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 1-128352 AL Primary

Addresses

Primary practice location

700 W Market St
Athens, AL 35611-2422

Mailing address

425 Walnut Creek LN
Killen, AL 35645-7552
Phone (256) 394-1647

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
I20181019000580 AL Practitioner - Nurse Practitioner 6901159045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mallette DermatologyGroup PAC ID 7517931041, 2 clinicians
Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

Practice addresses (Care Compare)

15248 Greenfield Dr
Athens, AL 35613-2897
Phone (256) 771-1995

2300 N Cedar St
Foley, AL 36535-2381
Phone (251) 943-6733

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mallette Dermatology CurrentSince Nov 4, 2024 Accepting new patients
Health Providers of America, LLC CurrentSince Aug 16, 2024 Accepting new patients

Locations

15248 Greenfield Dr
Athens, AL 35613
Phone (256) 771-1995

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1114412525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WALNUT CREEK LN",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356457552",
            "telephone_number": "256-394-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W MARKET ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112422",
            "telephone_number": "256-233-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "KRISTY",
        "middle_name": "ELAINE",
        "credential": "AANP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-128352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.