Individual provider Active NPI

Kristen Pleshette Williams

  • General Practice Physician
  • Tuscaloosa, AL
National Provider Identifier
1578074860
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1-110358 Issued in AL
Practice address
922 Fairfax Park
Tuscaloosa, AL 35406-2804
Phone
(205) 391-9300
NPI assigned
Oct 13, 2017
Last updated
Oct 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 1-110358 AL Primary

Addresses

Primary practice location

922 Fairfax Park
Tuscaloosa, AL 35406-2804

Mailing address

922 Fairfax Park
Tuscaloosa, AL 35406-2804
Phone (205) 391-9300

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
I20230209002415 AL Practitioner - Nurse Practitioner 3870920069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Sleep Center PCGroup PAC ID 2163686197, 7 clinicians
Southern NP Associates LLCGroup PAC ID 1557686243, 52 clinicians

Practice addresses (Care Compare)

1406 McFarland Blvd N
Suite C
Tuscaloosa, AL 35406-2293
Phone (205) 343-0004

2400 Hospital Dr
Northport, AL 35476-2400
Phone (205) 343-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-110358ALMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Care LLC CurrentSince Oct 5, 2022 Accepting new patients
Comprehensive Sleep Center PC CurrentSince Feb 3, 2024 Accepting new patients
Crimson Care LLC CurrentSince Oct 5, 2022 Accepting new patients
Ronnie T Chu MD P C CurrentSince Jan 27, 2024 Accepting new patients
Alabama Multi-Specialty Group, PC CurrentSince Jan 9, 2020 Accepting new patients
Crimson Urgent Care, LLC CurrentSince Oct 5, 2022 Accepting new patients

Locations

790 Montclair Rd
Ste 200
Birmingham, AL 35213
Phone (205) 599-1020

100 Towncenter Blvd
Ste 111
Tuscaloosa, AL 35406
Phone (205) 330-8820

1251 McFarland Blvd NE
Tuscaloosa, AL 35406
Phone (205) 349-2323

1406 McFarland Blvd N
Ste C
Tuscaloosa, AL 35406
Phone (205) 343-0004

1718 Veterans Memorial Pkwy
Tuscaloosa, AL 35404
Phone (205) 507-1100

1718 Veterans Memorial Pkwy
Ste A
Tuscaloosa, AL 35404
Phone (205) 507-1100

1718 Veterans Memorial Pkwy
Ste C
Tuscaloosa, AL 35404
Phone (205) 553-1900

1771 Skyland Blvd E
Tuscaloosa, AL 35405
Phone (205) 507-1119

922 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 391-9300

Organizations & group practices 7

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": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1578074860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 FAIRFAX PARK",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062804",
            "telephone_number": "205-391-9300",
            "fax_number": "205-391-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 FAIRFAX PARK",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062804",
            "telephone_number": "205-391-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KRISTEN",
        "middle_name": "PLESHETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "1-110358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.