Active NPI
Kimberly Norris, CRNP
- Nurse Practitioner
- Mobile, AL
National Provider Identifier
1124565494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-088755
- Practice address
- 1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341 - Phone
- (251) 432-4117
- Fax
- (251) 436-7765
- NPI assigned
- Jan 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-088755 | AL | Primary |
| Community Health Nurse Practitioner | 363LC1500X | 1-088755 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-088755 | AL | |
| Pediatric Nurse Practitioner | 363LP0200X | 1-088755 | AL | |
| Primary Care Nurse Practitioner | 363LP2300X | 1-088755 | AL |
Addresses
Primary practice location
1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Mailing address
1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-4117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-088755 | Other | AL | STATE LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-088755 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin Primary Health Center Inc. | Current | Accepting new patients | |
| Franklin Primary Health Center, Inc | Current | Accepting new patients |
Locations
1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646
1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603
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.
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1679532303
-
- Federally Qualified Health Center (FQHC)
- Evergreen, AL
- NPI 1346733821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1124565494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 DR MARTIN L KING JR AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366035341",
"telephone_number": "251-432-4117",
"fax_number": "251-436-7765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 DR MARTIN L KING JR AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366035341",
"telephone_number": "251-432-4117",
"fax_number": "251-436-7765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "KIMBERLY",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-25",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-088755",
"primary": true
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "AL",
"license": "1-088755",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-088755",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AL",
"license": "1-088755",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AL",
"license": "1-088755",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "1-088755",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.