Killen Urgent Care, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KILLEN URGENT CARE, INC.

Practice address

152 J C Mauldin Hwy
Killen, AL 35645-9106

Phone

(256) 710-9033

NPI assigned

May 1, 2017

Last updated

May 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Reshea Riner, FNP-CNPI 1346698503

Title

Nurse Practitioner

Phone

(256) 710-9033

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Reshea Riner, FNP-C

  • Family Nurse Practitioner
  • Killen, AL
  • NPI 1346698503
  Medicare reassignment Care Compare group NPD Authorized official
• Kristen Dollar Martin, CRNP

  • Family Nurse Practitioner
  • Killen, AL
  • NPI 1437677127

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1760918494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 J C MAULDIN HWY",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356459106",
            "telephone_number": "256-710-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 J C MAULDIN HWY",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356459106",
            "telephone_number": "256-710-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILLEN URGENT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "RINER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "RESHEA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "256-710-9033",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlea Clemons Judson, CRNP
• Killen Clinic
• Killen Ctr Star Rescue
• Killen Drugs Inc (Killen Corner Drugs)
• Killen Pharmacy (Foodland Pharmacy)
• Kellony Everett Kristof, LMT2720
• Lauderdale Christian Nursing Home
• Marikit Tongo Magkalas, DMD
• Kristen Dollar Martin, CRNP
• Meares Family Chiropractic, Inc

• Primary Care Clinic/Center in Killen, AL
• Providers in Killen, AL by specialty
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.