Individual provider Active NPI

Chrisy Dawn Gambrell, CRNP

  • Family Nurse Practitioner
  • Florence, AL
National Provider Identifier
1487246393
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-137366 Issued in AL
Practice address
503 W College St
Florence, AL 35630-5311
Phone
(256) 767-1779
Fax
(256) 767-1780
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1-137366 AL
Family Nurse Practitioner 363LF0000X 1-137366 AL Primary

Addresses

Primary practice location

503 W College St
Florence, AL 35630-5311

Mailing address

503 W College St
Florence, AL 35630-5311
Phone (256) 767-1779

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
I20210303000966 AL Practitioner - Nurse Practitioner 1456767201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

503 W College St
Florence, AL 35630-5311
Phone (256) 767-1779

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
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-137366ALMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Clinics LLC CurrentSince Feb 12, 2021 Accepting new patients
Rural Health Clinics LLC CurrentSince Feb 12, 2021 Accepting new patients
Singing River Healthcare, LLC CurrentSince Mar 1, 2024 Accepting new patients
Rural Health Clinics LLC PastSince Jan 22, 2023 Accepting new patients
Lister Healthcare Corporation PastSince Feb 11, 2024 Accepting new patients

Locations

503 W College St
Florence, AL 35630
Phone (256) 718-0388

1369A George Wallace Hwy
Russellville, AL 35654
Phone (256) 331-9700

Organizations & group practices 5

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": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1487246393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W COLLEGE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305311",
            "telephone_number": "256-767-1779",
            "fax_number": "256-767-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W COLLEGE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305311",
            "telephone_number": "256-767-1779",
            "fax_number": "256-767-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBRELL",
        "first_name": "CHRISY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-137366",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-137366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.