Individual provider Active NPI

Kristen Cravens

  • Gerontology Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1124489588
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-130188 Issued in AL
Practice address
1201 11TH Ave South
Uab Highlands Hospital
Birmingham, AL 35205-3422
Phone
(205) 934-3411
NPI assigned
Mar 14, 2016
Last updated
Mar 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1-130188 AL Primary

Addresses

Primary practice location

1201 11TH Ave South
Uab Highlands Hospital
Birmingham, AL 35205-3422

Mailing address

1201 11TH Ave South
Uab Highlands Hospital
Birmingham, AL 35205-3422
Phone (205) 934-3411

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
I20160406000375 AL Practitioner - Nurse Practitioner 1658679782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3014 Allison Bonnett Memorial Dr
Suite 144And146
Hueytown, AL 35023-2392
Phone (205) 744-9444

592 Fieldstown Rd
Suite 114And116
Gardendale, AL 35071-3414
Phone (205) 608-3606

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Mar 7, 2016 Accepting new patients

Locations

1201 11th Ave S
Birmingham, AL 35205
Phone (205) 930-7100

1201 11th Ave S
#5
Birmingham, AL 35205

2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

960 Rocket Way
Gardendale, AL 35071
Phone (205) 263-0952

501 Emery Dr W
Hoover, AL 35244
Phone (205) 801-7703

Interoperability endpoints

  • Direct secure messaging: kcravens@direct.uabmedicine.org

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 2

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": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1124489588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE SOUTH",
            "address_2": "UAB HIGHLANDS HOSPITAL",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053422",
            "telephone_number": "205-934-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE SOUTH",
            "address_2": "UAB HIGHLANDS HOSPITAL",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053422",
            "telephone_number": "205-934-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVENS",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-130188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.