Mary C Kimbrell, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-114767 Issued in AL

Practice address

12935 Highway 231 431 N
Hazel Green, AL 35750-8631

Phone

(256) 828-6766

NPI assigned

Sep 6, 2011

Last updated

Feb 6, 2013By 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

Other identifiers 2

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthosports1St PCGroup PAC ID 8729402037, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Orthosports1St PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hoover, AL
  • NPI 1730701673
  Medicare reassignment Care Compare group NPD
• Emergency Physicians Group

  • Emergency Medicine Physician
  • Huntsville, AL
  • NPI 1659366649
  Medicare reassignment
• Orthosports1St PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Madison, AL
  • NPI 1184438855
  NPD

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

• The Health Care Authority of the City of Huntsville

  dba Huntsville Hospital

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1245511138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12935 HIGHWAY 231 431 N",
            "city": "HAZEL GREEN",
            "state": "AL",
            "postal_code": "357508631",
            "telephone_number": "256-828-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12935 HIGHWAY 231 431 N",
            "city": "HAZEL GREEN",
            "state": "AL",
            "postal_code": "357508631",
            "telephone_number": "256-828-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBRELL",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-114767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF NURSING LICENSE",
            "identifier": "1-114767",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDITIALING ENTER FOR FNP",
            "identifier": "2010013963",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• HH Physician Care Hazel Green
• Home Sweet Home Nal LLC
• Alyson Justice, CRNP
• David Adam Kelly, PHARMD
• Shayna Spearman Kidd, FNP
• Peter Kinnebrew, M.D.
• Dawn M Kumber-Curry
• Laura Lee Taylor M.D.,LLC (The Doctor's Office)
• Sarah Lee
• Griffin Keith Lewallen, PT

• Family Nurse Practitioner in Hazel Green, AL
• Providers in Hazel Green, 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 Feb 6, 2013; 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.