Individual provider Active NPI

Kristi Deanna Marlin, CRNP

  • Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1376273128
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-143588 Issued in AL
Practice address
1201 7TH St SE
Decatur, AL 35601-3337
Phone
(256) 973-2909
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 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 1-143588 AL Primary

Addresses

Primary practice location

1201 7TH St SE
Decatur, AL 35601-3337

Mailing address

2222 Carleton Dr SW
Decatur, AL 35603-1810
Phone (256) 655-7008

Other practice location 1

1874 Beltline Rd SW
Decatur, AL 35601-5514
Phone (256) 973-2909

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
I20221207001164 AL Practitioner - Nurse Practitioner 1951770387 Reassigns benefits to 5 organizations

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
Advantage Family Care IncGroup PAC ID 7618103748, 56 clinicians
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

1115 Beltline Rd SE
Suite 400
Decatur, AL 35601-6556
Phone (256) 898-3004

416 N Seminary St
Suite 1100
Florence, AL 35630-6411
Phone (931) 253-1110

6001 Marcus Byers Dr NE
Huntsville, AL 35811-1157
Phone (256) 864-6656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Family Care Inc CurrentSince May 30, 2024 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Oct 17, 2025 Accepting new patients
Family Medicine Associates, PC CurrentSince Dec 1, 2022 Accepting new patients
Advantage Family Care, Inc. CurrentSince May 30, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Oct 17, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 17, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 17, 2025 Accepting new patients

Locations

1813 Beltline Rd SW
Decatur, AL 35601
Phone (256) 353-3500

1115 Beltline Rd SE
Ste 400
Decatur, AL 35601
Phone (256) 898-3004

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

300 Hughes Rd
Ste G2
Madison, AL 35758
Phone (256) 542-0230

6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038

Interoperability endpoints

  • Direct secure messaging: kristi.marlin@ro.direct.systemedx.com

Organizations & group practices 8

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": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1376273128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 CARLETON DR SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031810",
            "telephone_number": "256-655-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 7TH ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013337",
            "telephone_number": "256-973-2909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1874 Beltline Rd SW",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356015514",
            "country_code": "US",
            "telephone_number": "256-973-2909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARLIN",
        "first_name": "KRISTI",
        "middle_name": "DEANNA",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-143588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.