Mary Chelimo Kipchumba, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-118514 Issued in AL

Practice address

1475 Al Highway 14 E
Selma, AL 36703-2996

Phone

(334) 526-3240

NPI assigned

Jan 11, 2016

Last updated

Apr 14, 2017By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Cooper Green Mercy Health Services Authority an Affiliate of Uab

  • Clinic/Center
  • Birmingham, AL
  • NPI 1366073108
  Medicare reassignment NPD
• Cooper Green Mercy Health Services Authority an Affiliate of Uab

  dba Cooper Green Clinic Pharmacy

  • Clinic Pharmacy
  • Birmingham, AL
  • NPI 1568081644
  NPD

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1205292984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 AL HIGHWAY 14 E",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367032996",
            "telephone_number": "334-526-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 AL HIGHWAY 14 E",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367032996",
            "telephone_number": "334-526-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPCHUMBA",
        "first_name": "MARY",
        "middle_name": "CHELIMO",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-118514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Kendrick-Robinson, M.D.
• Deborah Jenkins Kidd, FNP
• Kiddie Kastle Inc. (Horizon Group Home)
• Anetrial G. King, FNP-C
• Clarissa Renea King, MSN APRN FNP-C
• Reema Klinger, MD
• Jewels M Knight, FNP-C, FNP-BC
• Nicholas Alan Knight, M.D.
• Mallerie Joye Ladner, PHARMD
• Latorie Langridge

• Family Nurse Practitioner in Selma, AL
• Providers in Selma, 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 Apr 14, 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.

Verify at the official NPI Registry.