Individual provider Active NPI

Kristen Faith James, CRNP

  • Family Nurse Practitioner
  • Florence, AL
National Provider Identifier
1669090676
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-14489 Issued in AL
Practice address
11348 Highway 20
Florence, AL 35633-2702
Phone
(256) 764-6087
Fax
(256) 764-6089
NPI assigned
Jul 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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 1-14489 AL Primary

Addresses

Primary practice location

11348 Highway 20
Florence, AL 35633-2702

Mailing address

11348 Highway 20
Florence, AL 35633-2702
Phone (256) 764-6087

Other names 1

  • Kristen Faith Melton Former name

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
I20201202003407 AL Practitioner - Nurse Practitioner 3173934726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Central Family Clinic, IncGroup PAC ID 0244326908, 3 clinicians

Practice addresses (Care Compare)

11348 Hwy 20
Florence, AL 35633-2702
Phone (256) 764-6087

Hospital & facility affiliations

  • Amedisys Home Health of Florence Home health agency, Florence, AL, CCN 017165
  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006
  • North Alabama Shoals Hospital Hospital, Muscle Shoals, AL, CCN 010157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-14489ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Family Clinic, Inc CurrentSince Aug 19, 2020 Accepting new patients

Locations

11348 Highway 20
Florence, AL 35633
Phone (256) 764-6087

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1669090676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11348 HIGHWAY 20",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356332702",
            "telephone_number": "256-764-6087",
            "fax_number": "256-764-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11348 HIGHWAY 20",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356332702",
            "telephone_number": "256-764-6087",
            "fax_number": "256-764-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "KRISTEN",
        "middle_name": "FAITH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-14489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MELTON",
            "middle_name": "FAITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.