Individual provider Active NPI

Kristine Elizabeth Mollohan, NP-C

  • Family Nurse Practitioner
  • Sheffield, AL
National Provider Identifier
1801213301
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-055332 Issued in AL
Practice address
342 Cox Blvd
Sheffield, AL 35660-4020
Phone
(256) 383-4473
Fax
(256) 381-5232
NPI assigned
Mar 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-055332 AL Primary

Addresses

Primary practice location

342 Cox Blvd
Sheffield, AL 35660-4020

Mailing address

212 Moore Rd
Tuscumbia, AL 35674-6306
Phone (256) 856-2474

Other identifiers 1

IdentifierTypeStateIssuer
1326373861OtherALGROUP NPI

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
I20140627001448 AL Practitioner - Nurse Practitioner 4789809146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Tennessee River Urgent CareGroup PAC ID 0941545974, 2 clinicians

Practice addresses (Care Compare)

707 E 2ND St
Suite a
Sheffield, AL 35660-3219
Phone (256) 320-7365

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Moulton, AL, CCN 017071

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee River Urgent Care Family CurrentSince Dec 1, 2018 Accepting new patients
Shoals Primary Care, LLC Family CurrentSince May 1, 2014 Accepting new patients

Locations

342 Cox Blvd
Sheffield, AL 35660
Phone (256) 383-4473

707 E 2nd St
Ste A
Sheffield, AL 35660
Phone (256) 320-7365

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1801213301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MOORE RD",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356746306",
            "telephone_number": "256-856-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 COX BLVD",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356604020",
            "telephone_number": "256-383-4473",
            "fax_number": "256-381-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOHAN",
        "first_name": "KRISTINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-055332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1326373861",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

Verify at the official NPI Registry.