Individual provider Active NPI

Kimberley L Carver, CRNP

  • Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1467711655
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1071306 Issued in AL
Practice address
7700 Highway 69 S Ste C
Tuscaloosa, AL 35405-8784
Phone
(205) 349-1040
Fax
(205) 349-4015
NPI assigned
May 9, 2012
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-071306 AL
Nurse Practitioner 363L00000X 1071306 AL Primary

Addresses

Primary practice location

7700 Highway 69 S Ste C
Tuscaloosa, AL 35405-8784

Mailing address

7700 Highway 69 S Ste C
Tuscaloosa, AL 35405-8784
Phone (205) 349-1040

Other practice location 1

1300 McFarland Blvd NE Ste 340
Tuscaloosa, AL 35406-2282
Phone (205) 345-4907

Other identifiers 1

IdentifierTypeStateIssuer
1071306OtherALLICENSE

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
I20120806000105 AL Practitioner - Nurse Practitioner 3971759051 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-071306ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pickens County Primary Care, PC CurrentSince Jul 1, 2014 Accepting new patients
Pickens County Primary Care PC CurrentSince Jul 1, 2014 Accepting new patients
Amedisys Hospice, L.L.C. PastSince Apr 20, 2025 Accepting new patients
Amedisys Hospice, L.L.C. Past Accepting new patients

Locations

108 4th Ave SW
Ste A
Reform, AL 35481
Phone (205) 242-0580

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1467711655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 HIGHWAY 69 S STE C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354058784",
            "telephone_number": "205-349-1040",
            "fax_number": "205-349-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 HIGHWAY 69 S STE C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354058784",
            "telephone_number": "205-349-1040",
            "fax_number": "205-349-4015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 McFarland Blvd NE Ste 340",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354062282",
            "country_code": "US",
            "telephone_number": "205-345-4907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARVER",
        "first_name": "KIMBERLEY",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-071306",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1071306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1071306",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.