Active NPI
Kristin Shaw Spencer, CRNP
- Family Nurse Practitioner
- Tuscaloosa, AL
National Provider Identifier
1801788138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-188292
- Practice address
- 1050 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2958 - Phone
- (205) 759-7246
- NPI assigned
- Jul 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-188292 | AL | Primary |
Addresses
Primary practice location
1050 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2958
Mailing address
16655 Old Fayette Rd
Northport, AL 35475-4132
Phone (205) 454-0327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-188292 | AL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1801788138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16655 OLD FAYETTE RD",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354754132",
"telephone_number": "205-454-0327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 RUBY TYLER PKWY",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354042958",
"telephone_number": "205-759-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "KRISTIN",
"middle_name": "SHAW",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-21",
"last_updated": "2025-07-21",
"certification_date": "2025-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-188292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
- Sandra Boyle Sparks, RPH
- Specialized Medical Devices Inc
- Specialty Medical Centers LLC
- Anna Fuller Spence, NP-C
- Janice Marie Spencer, CRNP
- Sarah Morgan Spencer, CRNP
- Spine & Sport Chiropractic, Inc
- Robin Spoon Barton, MEDICAL DOCTOR
- Katherine Theresa Sprain, LICSW
- Johnna Bryant Springer, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.