Active NPI
Kyra Whited, CRNP
- Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1366970246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F09161434
- Practice address
- 100 Pilot Medical Dr Ste 300
Birmingham, AL 35235-3412 - Phone
- (205) 856-2284
- Fax
- (205) 815-4777
- NPI assigned
- May 23, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F09161434 | AL | Primary |
Addresses
Primary practice location
100 Pilot Medical Dr Ste 300
Birmingham, AL 35235-3412
Mailing address
100 Pilot Medical Dr Ste 300
Birmingham, AL 35235-3412
Phone (205) 856-2284
Other practice location 1
50 Medical Park Dr E
Birmingham, AL 35235-3401
Phone (205) 838-3000
Other practice location 2
2700 10th Ave S
Birmingham, AL 35205-1200
Phone (205) 776-6330
Other practice location 3
810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 939-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F09161434 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Allergist of Florida LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Allergy & Immunology Physician
- Birmingham, AL
- NPI 1386596245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1366970246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PILOT MEDICAL DR STE 300",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353412",
"telephone_number": "205-856-2284",
"fax_number": "205-815-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PILOT MEDICAL DR STE 300",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353412",
"telephone_number": "205-856-2284",
"fax_number": "205-815-4777"
}
],
"practiceLocations": [
{
"address_1": "50 Medical Park Dr E",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352353401",
"country_code": "US",
"telephone_number": "205-838-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2700 10th Ave S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352051200",
"country_code": "US",
"telephone_number": "205-776-6330",
"fax_number": "205-776-6330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "810 Saint Vincents Dr",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352051601",
"country_code": "US",
"telephone_number": "205-939-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITED",
"first_name": "KYRA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "F09161434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.