Individual provider Active NPI

Maranda Kay Thompson, CRNP

  • Nurse Practitioner
  • Pell City, AL
National Provider Identifier
1639779069
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-140958 Issued in AL
Practice address
20 Hazelwood Dr
Pell City, AL 35125-3382
Phone
(205) 338-8008
Fax
(205) 338-8009
NPI assigned
Oct 26, 2020
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-140958 AL Primary

Addresses

Primary practice location

20 Hazelwood Dr
Pell City, AL 35125-3382

Mailing address

20 Hazelwood Dr
Pell City, AL 35125-3382
Phone (205) 338-8008

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
I20201116001159 AL Practitioner - Nurse Practitioner 8224449632 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

361 Chelsea Crossroads
Chelsea, AL 35043
Phone (205) 386-2057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-140958ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Nov 4, 2020 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince May 30, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 1, 2025 Accepting new patients
American Family Care, LLC Current Accepting new patients
American Family Care, LLC CurrentSince Nov 4, 2020 Accepting new patients
Rural Urgent Care LLC CurrentSince May 30, 2023 Accepting new patients

Locations

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

361 Chelsea Xrds
Chelsea, AL 35043
Phone (205) 386-2057

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

202 State Farm Pkwy
Homewood, AL 35209
Phone (205) 719-8465

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038

30 Holmes Dr
Oxford, AL 36203
Phone (256) 403-3534

20 Hazelwood Dr
Pell City, AL 35125
Phone (205) 338-8008

40900 US Highway 280
Sylacauga, AL 35150
Phone (256) 369-0022

Organizations & group practices 9

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1639779069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HAZELWOOD DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351253382",
            "telephone_number": "205-338-8008",
            "fax_number": "205-338-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HAZELWOOD DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351253382",
            "telephone_number": "205-338-8008",
            "fax_number": "205-338-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARANDA",
        "middle_name": "KAY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-140958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

Verify at the official NPI Registry.