Individual provider Active NPI

Kyra Whited, CRNP

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1366970246
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F09161434 Issued in AL
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
F09161434ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Allergist of Florida LLC PastSince Aug 23, 2022 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.

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.

Verify at the official NPI Registry.