Individual provider Active NPI

Michelle Hall Kirkland, CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1619059904
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-086011 Issued in AL
Practice address
330 St. Lukes Drive
Montgomery, AL 36117
Phone
(334) 270-8864
Fax
(334) 270-1176
NPI assigned
Oct 19, 2006
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1086011 AL
Family Nurse Practitioner 363LF0000X 1-086011 AL Primary

Addresses

Primary practice location

330 St. Lukes Drive
Montgomery, AL 36117

Mailing address

330 St. Lukes Drive
Montgomery, AL 36117
Phone (334) 270-8864

Other identifiers 1

IdentifierTypeStateIssuer
529909590MedicaidAL

Other names 1

  • Michelle Ruth Hall Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1086011ALMDNurse Practitioner
1-086011ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Pediatrics LLC CurrentSince Aug 25, 2019 Accepting new patients
Jenny Alexander M.D. Past Accepting new patients

Locations

330 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 270-8864

356 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 270-8864

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, 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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1619059904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ST. LUKES DRIVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-270-8864",
            "fax_number": "334-270-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ST. LUKES DRIVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-270-8864",
            "fax_number": "334-270-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "MICHELLE",
        "middle_name": "HALL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1086011",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-086011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529909590",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HALL",
            "middle_name": "RUTH",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.