Individual provider Active NPI

Kimberly Lynn Velie, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1275109605
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-190205 Issued in AL
Practice address
1651 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2990
Phone
(205) 507-8570
NPI assigned
May 27, 2021
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-190205 AL Primary

Addresses

Primary practice location

1651 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2990

Mailing address

1651 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2990
Phone (205) 507-8570

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
I20220616001304 AL Practitioner - Nurse Practitioner 3577942879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpha Neuron, LLCGroup PAC ID 8022438266, 6 clinicians

Practice addresses (Care Compare)

2201 Jack Warner Pkwy
Tuscaloosa, AL 35401-1090
Phone (205) 523-5618

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Neuron, LLC Psychiatry CurrentSince Jul 1, 2024 Accepting new patients
Alpha Neuron, LLC CurrentSince Jul 1, 2024 Accepting new patients
Focus Physiotherapy PastSince Jun 1, 2021 Accepting new patients
Center for Family Psychiatry PC Psychiatry PastSince Jun 1, 2021 Accepting new patients

Locations

2201 Jack Warner Pkwy
Tuscaloosa, AL 35401
Phone (205) 523-5618

Organizations & group practices 4

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 3

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": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1275109605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 RUBY TYLER PKWY",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042990",
            "telephone_number": "205-507-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 RUBY TYLER PKWY",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042990",
            "telephone_number": "205-507-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELIE",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-190205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.