Individual provider Active NPI

Kaylee Slover Friedman, CRNP

  • Family Nurse Practitioner
  • Spanish Fort, AL
National Provider Identifier
1295400711
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-145877 Issued in AL
Practice address
30762 Al Hwy 181
Spanish Fort, AL 36527
Phone
(800) 628-5956
NPI assigned
Aug 16, 2021
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-145877 AL Primary
Family Nurse Practitioner 363LF0000X F07190317 AL

Addresses

Primary practice location

30762 Al Hwy 181
Spanish Fort, AL 36527

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kellis@jubilee.health

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
I20211015001571 AL Practitioner - Nurse Practitioner 4385042779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Family Medical Associates of Alabama, LLCGroup PAC ID 2163879776, 18 clinicians

Practice addresses (Care Compare)

151 Fly Creek Ave
Suite 411
Fairhope, AL 36532-8308
Phone (251) 929-8490

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07190317ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Family Medical Associates of Alabama, LLC CurrentSince Jun 9, 2024 Accepting new patients

Locations

1304 13th Ave SE
Decatur, AL 35601
Phone (256) 355-9711

151 Fly Creek Ave
Ste 411
Fairhope, AL 36532
Phone (251) 929-8490

341 Greeno Rd N
#B
Fairhope, AL 36532
Phone (251) 444-1999

3942 Government Blvd
Mobile, AL 36693
Phone (251) 460-1103

30762 State Highway 181
Spanish Fort, AL 36527
Phone (251) 444-1999

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

Interoperability endpoints

  • Direct secure messaging: kellis@jubilee.health

Organizations & group practices 2

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1295400711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "800-480-5243",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30762 AL HWY 181",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "36527",
            "telephone_number": "800-628-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "KAYLEE",
        "middle_name": "SLOVER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-145877",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F07190317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kellis@jubilee.health",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "address_1": "30762 AL Hwy 181",
            "city": "spanish fort",
            "state": "AL",
            "country_code": "US",
            "postal_code": "36527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

Verify at the official NPI Registry.