Individual provider Active NPI

Kerri Stephen, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1578855789
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-111606 Issued in AL
Practice address
7191 Cahaba Valley Rd
Suite 300
Birmingham, AL 35242-6402
Phone
(205) 930-5060
Fax
(205) 930-2063
NPI assigned
May 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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 1-111606 AL Primary

Addresses

Primary practice location

7191 Cahaba Valley Rd
Suite 300
Birmingham, AL 35242-6402

Mailing address

7191 Cahaba Valley Rd
Suite 300
Birmingham, AL 35242-6402
Phone (205) 930-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110520000103 AL Practitioner - Nurse Practitioner 8921284241 Reassigns benefits to 1 organization
I20241022003396 FL Practitioner - Nurse Practitioner 8921284241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Birmingham Internal Medicine Associates, LLCGroup PAC ID 1658341193, 123 clinicians
Ormond Medical ArtsGroup PAC ID 1254222565, 38 clinicians

Practice addresses (Care Compare)

70 Plaza Dr
Pell City, AL 35125-9314
Phone (205) 814-7206

7191 Cahaba Valley Rd
Suite 300
Hoover, AL 35242-6461
Phone (205) 814-7206

72 Plaza Dr
Pell City, AL 35125-9314
Phone (205) 814-7206

74 Plaza Dr
Pell City, AL 35125-9314

77 W Granada Blvd
Ormond Beach, FL 32174-6302
Phone (904) 677-0453

832 Princeton Ave SW
Birmingham, AL 35211-1320
Phone (205) 206-8219

Hospital & facility affiliations

  • Compassus Home Health Home health agency, Pell City, AL, CCN 017145
  • Aveanna Home Health Home health agency, Hoover, AL, CCN 017153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-111606ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ormond Medical Arts Family Practice LLC CurrentSince Nov 15, 2024 Accepting new patients
Birmingham Internal Medicine Associates, LLC Family CurrentSince May 10, 2011 Accepting new patients

Locations

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

2834 Moody Pkwy
Moody, AL 35004
Phone (205) 640-2808

70 Plaza Dr
Pell City, AL 35125
Phone (205) 814-9284

6725 Deerfoot Pkwy
Pinson, AL 35126
Phone (205) 680-9898

480 Walker Dr
Springville, AL 35146
Phone (205) 467-6919

800 N Stone St
Deland, FL 32720
Phone (386) 601-5220

77 W Granada Blvd
Ormond Beach, FL 32174
Phone (386) 677-0453

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1579/brand/8/csg/141/fhir/r4
  • Direct secure messaging: kerri.stephen.1@15135.direct.athenahealth.com

Organizations & group practices 2

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": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1578855789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7191 CAHABA VALLEY RD",
            "address_2": "SUITE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426402",
            "telephone_number": "205-930-5060",
            "fax_number": "205-930-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7191 CAHABA VALLEY RD",
            "address_2": "SUITE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426402",
            "telephone_number": "205-930-5060",
            "fax_number": "205-930-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHEN",
        "first_name": "KERRI",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-111606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.