Kids Klinic, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KIDS KLINIC, LLC

Doing business as

Kids Klinic

Practice address

3683 US Highway 431
Albertville, AL 35950-0240

Phone

(256) 849-0436

Fax

(256) 849-0769

NPI assigned

Sep 25, 2023

Last updated

Oct 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lindsay Renae Miller, CRNP

Title

CRNP

Phone

(256) 558-2636

Specialties & licenses 1

Addresses

Other names 1

• Kids Klinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lindsay Burns Miller, CRNP

  • Family Nurse Practitioner
  • Guntersville, AL
  • NPI 1538408612
  NPD
• Jennifer Lynne Blackerby, CRNP

  • Family Nurse Practitioner
  • Gadsden, AL
  • NPI 1316287030
  NPD (past)
• Michael Revere Hallenbeck, M.D.

  • Pediatrics Physician
  • Boaz, AL
  • NPI 1275989725
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1598544066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COUNTY ROAD 208",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359577603",
            "telephone_number": "256-558-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3683 US HIGHWAY 431",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500240",
            "telephone_number": "256-849-0436",
            "fax_number": "256-849-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS KLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "256-558-2636",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Klinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Suzanne Jones
• Messalina Charisse Jordan, D.O.
• Nicolas Joyner, NP
• K -VA -T Food Stores Inc (Food City Pharmacy #501)
• Samantha A.H. Kelley, LPC
• Kimberly's Homes
• Kirby-Cochran Center for Dental Health, LLC
• Hannah Kittle, CRNP
• Jenny Knight, LBSW
• Morgan R Knowles, SLP

• Pediatrics Physician in Albertville, AL
• Providers in Albertville, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.