Individual provider Active NPI

Kristine Lynea Putman, C.R.N.P.

  • Family Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1699951145
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-091197 Issued in AL
Practice address
1874 Beltline Rd, SW
Suite 105
Decatur, AL 35601-5541
Phone
(256) 355-9711
Fax
(256) 351-9717
NPI assigned
Jan 15, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 1-091197 AL Primary

Addresses

Primary practice location

1874 Beltline Rd, SW
Suite 105
Decatur, AL 35601-5541

Mailing address

P.O. Box 5310
Decatur, AL 35601-5541
Phone (256) 355-9711

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-091197ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Together Women's Health Medical Group of Alabama PC CurrentSince Sep 26, 2024 Accepting new patients

Locations

1041 Balch Rd
Ste 250
Madison, AL 35758
Phone (256) 355-9711

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, 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": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699951145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5310",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015541",
            "telephone_number": "256-355-9711",
            "fax_number": "256-351-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 BELTLINE RD, SW",
            "address_2": "SUITE 105",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015541",
            "telephone_number": "256-355-9711",
            "fax_number": "256-351-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTMAN",
        "first_name": "KRISTINE",
        "middle_name": "LYNEA",
        "name_prefix": "Ms.",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-091197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.