Individual provider Active NPI

Kimberly Parker, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockford, AL
National Provider Identifier
1740890698
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3-000648 Issued in AL
Practice address
9518 US Highway 231
Rockford, AL 35136-5214
Phone
(256) 377-8008
Fax
(251) 662-7297
NPI assigned
Aug 5, 2020
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3-000648 AL
Family Nurse Practitioner 363LF0000X PARK-7YUYD4 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3-000648 AL Primary

Addresses

Primary practice location

9518 US Highway 231
Rockford, AL 35136-5214

Mailing address

5750A Southland Dr
Mobile, AL 36693-3316
Phone (251) 450-5916

Other practice location 1

1132 Hillcrest Rd
Mobile, AL 36695-3920
Phone (251) 517-8300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kparker@andersonregional.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220418001650 MS Practitioner - Nurse Practitioner 4284021403 Reassigns benefits to 1 organization
I20230109002162 AL Practitioner - Nurse Practitioner 4284021403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altapointe Health Systems IncGroup PAC ID 1052224052, 97 clinicians

Practice addresses (Care Compare)

9518 US Hwy 231
Rockford, AL 35136-5241
Phone (256) 377-8008

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3-000648ALMDFamily Nurse Practitioner
PARK-7YUYD4MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altapointe Health Systems, Inc. CurrentSince Oct 12, 2022 Accepting new patients
Altapointe Health Systems, Inc. CurrentSince Oct 12, 2022 Accepting new patients
Altapointe Health Systems, Inc. Current Accepting new patients
Signify Health, LLC CurrentSince Jan 5, 2022 Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 538-0244

1132 Hillcrest Rd
Mobile, AL 36695
Phone (251) 517-8300

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

6908 Providence Park Dr S
Mobile, AL 36695
Phone (251) 660-3490

9518 US Highway 231
Rockford, AL 35136
Phone (256) 377-4366

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: kimberly.parker.1@27270.direct.athenahealth.com
  • Direct secure messaging: kimberly.parker.p1@direct.accordiahealth.nextgenshare.com
  • Direct secure messaging: kparker@andersonregional.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1740890698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750A SOUTHLAND DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366933316",
            "telephone_number": "251-450-5916",
            "fax_number": "251-662-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9518 US HIGHWAY 231",
            "city": "ROCKFORD",
            "state": "AL",
            "postal_code": "351365214",
            "telephone_number": "256-377-8008",
            "fax_number": "251-662-7297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1132 Hillcrest Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366953920",
            "country_code": "US",
            "telephone_number": "251-517-8300",
            "fax_number": "251-662-7297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KIMBERLY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-000648",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "PARK-7YUYD4",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "3-000648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kparker@andersonregional.org",
            "affiliation": "N",
            "endpointDescription": "Work address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4708 Hickory Hills Cir",
            "city": "Meridian",
            "state": "MS",
            "country_code": "US",
            "postal_code": "393052440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockford, AL

Sources for this page

Verify at the official NPI Registry.