Organization Active NPI

Sunshine Clinic

  • Primary Care Nurse Practitioner
  • Fayette, AL
National Provider Identifier
1740152776
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
SUNSHINE CLINIC
Practice address
1034 Temple Ave N
Fayette, AL 35555-1924
Phone
(205) 265-3076
NPI assigned
Sep 19, 2025
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Kristin P Freeman
Title
President
Phone
(205) 265-3076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

1034 Temple Ave N
Fayette, AL 35555-1924

Mailing address

4330 Highway 78 E Ste 105
Jasper, AL 35501-8955
Phone (205) 265-3076

National Provider Directory

National Provider Directory
Tax ID family
Sunshine Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1034 Temple Ave N
Fayette, AL 35555
Phone (205) 265-3076

4330 Highway 78 E
Ste 105
Jasper, AL 35501
Phone (205) 265-3076

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1740152776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 HIGHWAY 78 E STE 105",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018955",
            "telephone_number": "205-265-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 TEMPLE AVE N",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355551924",
            "telephone_number": "205-265-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-265-3076"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayette, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.