Pamela Kite Trull, CRNP - PMHNP - BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1-064310 Issued in AL

Practice address

2200 Lakeshore Dr
Suite 150
Birmingham, AL 35209-8803

Phone

(205) 871-6926

Fax

(205) 871-7981

NPI assigned

May 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Pamela Elaine Trull Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Grayson and Associates PC

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1194772442

  AL

  Medicare reassignment NPD
• SVPS Psychiatric Services LLC

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1447528591
  NPD (past)

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1891055562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 LAKESHORE DR",
            "address_2": "SUITE 150",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352098803",
            "telephone_number": "205-871-6926",
            "fax_number": "205-871-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LAKESHORE DR",
            "address_2": "SUITE 150",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352098803",
            "telephone_number": "205-871-6926",
            "fax_number": "205-871-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITE TRULL",
        "first_name": "PAMELA",
        "name_prefix": "Mrs.",
        "credential": "CRNP - PMHNP - BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-064310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "TRULL",
            "middle_name": "ELAINE",
            "prefix": "MRS.",
            "credential": "CRNP - PMHNP - BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alan Frederick Kitchens, MD
• David M Kitchens, MD
• Jerry Lester Kitchens Jr., MD
• Vonda Lee Kitchens, C.R.N.A.
• Elizabeth M Kitchin
• Marshall Kitron
• Ronald Dean Kittinger, M.D.
• Kaleb Kittrell
• Paul Kivela
• Adair Klapou, RBT

• All providers in Birmingham, AL
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.