Individual provider Active NPI

Jewel Leigh Kirk, CRNP

  • Family Nurse Practitioner
  • Kimberly, AL
National Provider Identifier
1629325618
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-097819 Issued in AL
Practice address
9288 Stouts Rd
Kimberly, AL 35091-2005
Phone
(205) 368-5972
NPI assigned
Aug 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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 1-097819 AL Primary

Addresses

Primary practice location

9288 Stouts Rd
Kimberly, AL 35091-2005

Mailing address

298 Bowerman Rd
Blountsville, AL 35031-4440
Phone (205) 368-5972

Other practice location 1

2010 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6804
Phone (205) 877-1000

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
I20130909000220 AL Practitioner - Nurse Practitioner 4486897659 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Urgent Care Alabama LLC 5 clinicians

Practice addresses (Care Compare)

9288 Stouts Rd
Kimberly, AL 35091-2005
Phone (205) 795-0010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care of Alabama LLC CurrentSince Sep 1, 2013 Accepting new patients
Family First Urgent Care Alabama LLC CurrentSince Dec 1, 2021 Accepting new patients
Eastern Hospital Medicine PC CurrentSince Sep 10, 2017 Accepting new patients
Eastern Hospital Medicine PC CurrentSince Sep 10, 2017 Accepting new patients
Emergency Physician Associates, P.a. CurrentSince Jun 1, 2019 Accepting new patients
Anesthesiologists Associated PC CurrentSince Oct 1, 2016 Accepting new patients
Family First Primary Care Alabama LLC Current Accepting new patients
Anesthesiologists Associated PC CurrentSince Oct 1, 2016 Accepting new patients

Locations

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

210 Fieldstown Rd
Ste 124
Gardendale, AL 35071
Phone (205) 285-8252

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

9288 Stouts Rd
Kimberly, AL 35091
Phone (205) 787-0881

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1629325618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 BOWERMAN RD",
            "city": "BLOUNTSVILLE",
            "state": "AL",
            "postal_code": "350314440",
            "telephone_number": "205-368-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9288 STOUTS RD",
            "city": "KIMBERLY",
            "state": "AL",
            "postal_code": "350912005",
            "telephone_number": "205-368-5972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Brookwood Medical Ctr Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352096804",
            "country_code": "US",
            "telephone_number": "205-877-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRK",
        "first_name": "JEWEL",
        "middle_name": "LEIGH",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-097819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kimberly, AL

Sources for this page

Verify at the official NPI Registry.