Kristin Moudry, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-122592 Issued in AL

Practice address

32 School Ave
Berry, AL 35546-2246

Phone

(205) 689-0917

Fax

(205) 689-0949

NPI assigned

Aug 14, 2018

Last updated

Feb 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FMC Medical Clinic - Fayette LLCGroup PAC ID 3375894041, 7 clinicians

FMC Medical Clinic-Berry LLCGroup PAC ID 5890167696, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fayette Medical Center Homecare Home health agency, Fayette, AL, CCN 017088
• Fayette Medical Center Hospital, Fayette, AL, CCN 010045

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• FMC Medical Clinic - Berry LLC

  dba Berry Medical Clinic

  • Family Medicine Physician
  • Berry, AL
  • NPI 1588376800
  Medicare reassignment Care Compare group NPD
• FMC Medical Clinic - Fayette LLC

  • Family Medicine Physician
  • Fayette, AL
  • NPI 1588141063
  Medicare reassignment Care Compare group NPD
• FMC Medical Clinic Millport

  • Family Medicine Physician
  • Millport, AL
  • NPI 1063871184
  Medicare reassignment NPD
• Internal Medicine Associates of Tuscaloosa, P.C.

  dba Novus TMS Imat

  • Neurology Physician
  • Tuscaloosa, AL
  • NPI 1598414880
  NPD
• Winfield Family & Occupational Med PC

  dba Berry Family & Occupational Medicine

  • Family Medicine Physician
  • Winfield, AL
  • NPI 1144331356
  NPD (past)

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

• Fayette Medical Center

  • General Acute Care Hospital
  • Fayette, AL
  • NPI 1851323836
  Care Compare affiliation
• Fayette Medical Center Homecare, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Fayette, AL
  • NPI 1821241613
  Care Compare affiliation

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1720568363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062300",
            "telephone_number": "205-349-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SCHOOL AVE",
            "city": "BERRY",
            "state": "AL",
            "postal_code": "355462246",
            "telephone_number": "205-689-0917",
            "fax_number": "205-689-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUDRY",
        "first_name": "KRISTIN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-122592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berry Discount Apothecary
• C&D Pharmaceuticals Berry
• FMC Medical Clinic - Berry LLC (Berry Medical Clinic)
• Charles Kenneth Lloyd, R.PH.
• Sherry R Noble, CRNP
• T and K Pharmacy, Inc. (Berry Pharmacy)

• Family Nurse Practitioner in Berry, AL
• Providers in Berry, 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 Feb 10, 2023; 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.