Active NPI
Kristy Keiffer, CRNP
- Family Nurse Practitioner
- Cullman, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-063489
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000050499 | Medicaid | AL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-063489 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cullman Internal Medicine, PC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.