Individual provider Active NPI

Kristi Purvis, CRNP

  • Family Nurse Practitioner
  • Muscle Shoals, AL
National Provider Identifier
1376306340
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-073814 Issued in AL
Practice address
201 Avalon Ave
Muscle Shoals, AL 35661-2805
Phone
(256) 386-1628
Fax
(256) 386-1759
NPI assigned
Feb 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-073814 AL Primary

Addresses

Primary practice location

201 Avalon Ave
Muscle Shoals, AL 35661-2805

Mailing address

2020 Killough Dr
Tuscumbia, AL 35674-8865
Phone (256) 762-2030

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
I20240227003626 AL Practitioner - Nurse Practitioner 0941645121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoals Health Group LLCGroup PAC ID 6800033192, 13 clinicians

Practice addresses (Care Compare)

203 Avalon Ave
Muscle Shoals, AL 35661-2869
Phone (256) 629-1062

Hospital & facility affiliations

  • North Alabama Shoals Hospital Hospital, Muscle Shoals, AL, CCN 010157
  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-073814ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shoals Health Group LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

203 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 629-1062

203 Avalon Ave
Ste 300
Muscle Shoals, AL 35661
Phone (256) 386-1132

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

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.

Hospital & facility affiliations 2

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": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1376306340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 KILLOUGH DR",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356748865",
            "telephone_number": "256-762-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AVALON AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612805",
            "telephone_number": "256-386-1628",
            "fax_number": "256-386-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "KRISTI",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-073814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

Verify at the official NPI Registry.