Kristen Beverly, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-107936 Issued in AL

Practice address

300 N College St
Greenville, AL 36037

Phone

(334) 382-2681

Fax

(334) 383-9918

NPI assigned

Apr 5, 2017

Last updated

Aug 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Pugh Former name

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern NP Associates LLCGroup PAC ID 1557686243, 52 clinicians

Mid-South Home Care Services LLCGroup PAC ID 4385961093, 101 clinicians

American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mid-South Home Care Services, LLC

  dba Empatia Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Dothan, AL
  • NPI 1922535400
  Medicare reassignment Care Compare group NPD
• Southern NP Associates, LLC

  • Adult Health Nurse Practitioner
  • Tuscaloosa, AL
  • NPI 1407257447
  Medicare reassignment Care Compare group NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment Care Compare group
• Mid-South Home Care Services, LLC

  dba Empatia Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Alpharetta, GA
  • NPI 1154207769
  NPD

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1194258319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 COUNTRY CLUB DR",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "36037",
            "telephone_number": "334-782-7757",
            "fax_number": "334-383-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N COLLEGE ST",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "36037",
            "telephone_number": "334-382-2681",
            "fax_number": "334-383-9918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "AL",
            "postal_code": "360371305",
            "country_code": "US",
            "telephone_number": "334-782-7757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVERLY",
        "first_name": "KRISTEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-107936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "PUGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Baptist Medical Center South OB/GYN Group
• Shaquesha Baugh
• Regina Bennett, ASSOCIATE COUNSELOR
• Bennett's Counseling Services
• Nykeria Ananda Bethel
• Carime Bibb
• Bio-Medical Applications of Alabama, Inc. (Fresenius Medical Care Camelia)
• Recennah Dalevetta Braxton, PHARM.D
• Sheena Buckelew, CRNP
• Elizabeth Colleen Burgans

• Family Nurse Practitioner in Greenville, AL
• Providers in Greenville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.