Kristie L Quattlebaum, CRNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1-133998 Issued in AL

Practice address

1848 Parkland Dr NE
Cullman, AL 35058-6100

Phone

(256) 737-4101

Fax

(256) 737-4101

NPI assigned

Dec 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cullman Pain and Wellness LLCGroup PAC ID 1052724713, 14 clinicians

Gardendale Pain and Wellness LLCGroup PAC ID 1254690134, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

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.

• Cullman Pain and Wellness LLC

  • Pain Medicine (Anesthesiology) Physician
  • Cullman, AL
  • NPI 1528673621
  Medicare reassignment Care Compare group NPD
• Gardendale Pain and Wellness, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Gardendale, AL
  • NPI 1316459746
  Medicare reassignment Care Compare group NPD
• HH Health System - the Orthopaedic Center, LLC

  • Orthopaedic Surgery Physician
  • Huntsville, AL
  • NPI 1376220822
  Medicare reassignment NPD
• Tennessee Valley Pain Consultants, PC

  • Pain Medicine (Anesthesiology) Physician
  • Huntsville, AL
  • NPI 1730548264
  Medicare reassignment NPD
• Cullman Pain and Wellness LLC

  • Pain Medicine (Anesthesiology) Physician
  • Cullman, AL
  • NPI 1629667837
  NPD
• HH Tennessee Valley Pain Center

  • Pain Medicine Physician
  • Huntsville, AL
  • NPI 1639709710
  NPD (past)
• The Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Huntsville, AL
  • NPI 1205880291
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cullman Regional Medical Center, Inc

  • General Acute Care Hospital
  • Cullman, AL
  • NPI 1114919339
  Care Compare affiliation

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1609231885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 DAY GAP RD",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350573372",
            "telephone_number": "256-531-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 PARKLAND DR NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350586100",
            "telephone_number": "256-737-4101",
            "fax_number": "256-737-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Decatur Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gardendale",
            "state": "AL",
            "postal_code": "350712384",
            "country_code": "US",
            "telephone_number": "205-608-8199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUATTLEBAUM",
        "first_name": "KRISTIE",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-133998",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-133998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristie.quattlebaum.1@3038.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "7736 Madison Blvd Ste 1",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358063658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Gerontology Nurse Practitioner in Cullman, AL
• Providers in Cullman, AL by specialty
• Gerontology Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.

Verify at the official NPI Registry.