Active NPI
Kimberly Ann Buck, CRNP
- Primary Care Nurse Practitioner
- Northport, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1-126637
- Practice address
- 2700 Hospital Dr
Northport, AL 35476-3360 - Phone
- (205) 333-4566
- NPI assigned
- Jan 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 1-126637 | AL | Primary |
Addresses
Primary practice location
2700 Hospital Dr
Northport, AL 35476-3360
Mailing address
3501 71St Ave
Northport, AL 35473-2158
Phone (205) 516-5825
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-126637 | AL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relias Emergency Medicine Specialists of Regional, LLC | Multi-Specialty | Current | Accepting new patients |
| Cahaba Medical Care Foundation | Multi-Specialty | Current | Accepting new patients |
| Cahaba Medical Care Foundation | Current | Accepting new patients | |
| Relias Emergency Medicine Specialists of Northport, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155
405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694
195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455
2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500
809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661
Organizations & group practices 5
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)
- Centreville, AL
- NPI 1316201809
Multi-Specialty
-
- Emergency Medicine Physician
- Northport, AL
- NPI 1699261149
Multi-Specialty
-
- Emergency Medicine Physician
- Tuscaloosa, AL
- NPI 1619463163
Multi-Specialty
-
- Family Medicine Physician
- Tuscaloosa, AL
- NPI 1235090309
-
- Federally Qualified Health Center (FQHC)
- Centreville, AL
- NPI 1316542624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1295375186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 71ST AVE",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354732158",
"telephone_number": "205-516-5825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 HOSPITAL DR",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354763360",
"telephone_number": "205-333-4566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-09",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "AL",
"license": "1-126637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northport, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.