Individual provider Active NPI

Kristy Keiffer, CRNP

  • Family Nurse Practitioner
  • Cullman, AL
National Provider Identifier
1508801804
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-063489 Issued in AL
Practice address
1890 Al Highway 157
Suite 420
Cullman, AL 35058-3601
Phone
(256) 739-7050
Fax
(256) 739-7052
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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 1-063489 AL Primary

Addresses

Primary practice location

1890 Al Highway 157
Suite 420
Cullman, AL 35058-3601

Mailing address

1890 Al Highway 157
Suite 420
Cullman, AL 35058-3601
Phone (256) 739-7050

Other identifiers 1

IdentifierTypeStateIssuer
000050499MedicaidAL

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
I20111110000338 AL Practitioner - Nurse Practitioner 7214101112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cullman Internal Medicine, PC 28 clinicians

Practice addresses (Care Compare)

1890 Al Hwy 157
Suite 300
Cullman, AL 35058-0689
Phone (256) 737-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-063489ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cullman Internal Medicine, PC CurrentSince Jan 1, 2000 Accepting new patients

Locations

1890 AL Highway 157
Cullman, AL 35058
Phone (256) 737-8000

1890 AL Highway 157
Ste 300
Cullman, AL 35058
Phone (256) 737-2100

1890 AL Highway 157
Ste 420
Cullman, AL 35058
Phone (256) 737-8073

1803 Park View Dr
Cullman, AL 35058
Phone (256) 737-8000

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1508801804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 AL HIGHWAY 157",
            "address_2": "SUITE 420",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350583601",
            "telephone_number": "256-739-7050",
            "fax_number": "256-739-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 AL HIGHWAY 157",
            "address_2": "SUITE 420",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350583601",
            "telephone_number": "256-739-7050",
            "fax_number": "256-739-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIFFER",
        "first_name": "KRISTY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-063489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000050499",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.