Kristan Blake May, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-133956 Issued in AL

Practice address

125 Henry LN
Winfield, AL 35594-9028

Phone

(205) 487-1260

NPI assigned

May 26, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Farouk a Raquib MD PCGroup PAC ID 4688864440, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Tuscaloosa Home health agency, Northport, AL, CCN 017300
• North Mississippi Health Services - South Marion Hospital, Winfield, AL, CCN 010086
• Fayette Medical Center Hospital, Fayette, AL, CCN 010045

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBBFBD

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.

• Farouk a. Raquib, M.D., P.C.

  • Family Medicine Physician
  • Winfield, AL
  • NPI 1760531479
  Medicare reassignment Care Compare group NPD
• NWMC Winfield Physicians LLC

  • Family Medicine Physician
  • Winfield, AL
  • NPI 1366831380
  Medicare reassignment NPD

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

• Amedisys Alabama, LLC

  dba Amedisys Home Health of Tuscaloosa

  • Home Health Agency
  • Northport, AL
  • NPI 1093773319
  Care Compare affiliation
• Fayette Medical Center

  • General Acute Care Hospital
  • Fayette, AL
  • NPI 1851323836
  Care Compare affiliation
• Marion Regional Health - Winfield, Inc.

  dba North Mississippi Health Services - South Marion

  • General Acute Care Hospital
  • Winfield, AL
  • NPI 1083402895
  Care Compare affiliation
• Marion Regional Health - Winfield, Inc.

  dba North Mississippi Health Services - South Marion Psych Unit

  • Psychiatric Hospital Unit
  • Winfield, AL
  • NPI 1447049598
  Care Compare affiliation
• Marion Regional Health - Winfield, Inc.

  dba North Mississippi Health Services - South Marion Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Winfield, AL
  • NPI 1730978875
  Care Compare affiliation

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639607120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HENRY LN",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355949028",
            "telephone_number": "205-487-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HENRY LN",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355949028",
            "telephone_number": "205-487-1260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1390 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Sulligent",
            "state": "AL",
            "postal_code": "355863841",
            "country_code": "US",
            "telephone_number": "205-698-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAY",
        "first_name": "KRISTAN",
        "middle_name": "BLAKE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-133956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion Regional Health - Winfield, Inc. (Cardiothoracic and Vascular Surgery Clinic South Marion)
• Douglas M Martin, D.O.
• Marwin Counseling
• Marwin Counseling Services
• Dennis E May III, PHARM.D.
• Med 360 Urgent Care Winfield LLC
• Med360Rx
• Maury P Minton, M.D.
• Penny Marie Mitchell, LPC05951
• Ladawn Hope Moore

• Family Nurse Practitioner in Winfield, AL
• Providers in Winfield, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.