Individual provider Active NPI

Kimberly Kay Crow, CRNP

  • Family Nurse Practitioner
  • Rainsville, AL
National Provider Identifier
1710120969
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-063609 Issued in AL
Practice address
504 McCurdy Ave S
Rainsville, AL 35986-5254
Phone
(256) 638-9161
NPI assigned
Apr 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1-063609 AL
Family Nurse Practitioner 363LF0000X 1-063609 AL Primary

Addresses

Primary practice location

504 McCurdy Ave S
Rainsville, AL 35986-5254

Mailing address

504 McCurdy Ave S
Rainsville, AL 35986-5254
Phone (256) 638-9161

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
I20090617000344 AL Practitioner - Nurse Practitioner 6901956796 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Healthcare LLCGroup PAC ID 2264682533, 3 clinicians
Fort Payne Urgent Care LLCGroup PAC ID 3476933219, 3 clinicians
Premier Medical Clinic LLCGroup PAC ID 7012155609, 9 clinicians

Practice addresses (Care Compare)

126 Commerce Ave
Valley Head, AL 35989-4259
Phone (256) 635-6600

205 Grand Ave NW
Fort Payne, AL 35967-2107
Phone (256) 635-6600

2605 Gault Ave N
Suite 200
Fort Payne, AL 35967-3700
Phone (256) 979-1990

PO Box
Scottsboro, AL 35768

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Healthcare LLC CurrentSince Aug 12, 2023 Accepting new patients
Premier Medical Clinic LLC CurrentSince Aug 12, 2023 Accepting new patients
Fort Payne Urgent Care, LLC Family CurrentSince Jan 28, 2026 Accepting new patients
Valley Head Clinic LLC CurrentSince Aug 12, 2023 Accepting new patients
Doctors Med Care of Fort Payne, P.C. CurrentSince Mar 20, 2019 Accepting new patients
Valley Head Clinic LLC CurrentSince Aug 12, 2023 Accepting new patients
Horizon Medical Clinic LLC CurrentSince Aug 12, 2023 Accepting new patients
Family First Medicine LLC Family Past Accepting new patients
Faith Medical Clinic LLC Family Past Accepting new patients
Harbin Clinic, LLC Past Accepting new patients

Locations

205 Grand Ave NW
Ste B
Fort Payne, AL 35967
Phone (256) 979-1515

205 Grand Ave NW
Ste A
Fort Payne, AL 35967
Phone (256) 635-6600

2605 Gault Ave N
Ste 200
Fort Payne, AL 35967
Phone (256) 979-1990

1040 Glenn Blvd SW
Fort Payne, AL 35967
Phone (256) 845-6900

2108 Rainbow Dr
Gadsden, AL 35901
Phone (256) 547-0160

2345 2nd Ave E
Ste B
Oneonta, AL 35121
Phone (205) 625-3332

6110 County Road 88
Pisgah, AL 35765
Phone (256) 451-1250

506 Harley St
Scottsboro, AL 35768
Phone (256) 259-1234

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25908/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/15538/brand/2/csg/1/fhir/r4

Organizations & group practices 10

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": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1710120969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MCCURDY AVE S",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359865254",
            "telephone_number": "256-638-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MCCURDY AVE S",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359865254",
            "telephone_number": "256-638-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROW",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-063609",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-063609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainsville, AL

Sources for this page

Verify at the official NPI Registry.