Active NPI
Kristy Leigh Nichols, CRNP
- Nurse Practitioner
- Andalusia, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-073811
- Practice address
- 301 Medical Ave Ste C
Andalusia, AL 36420-1105 - Phone
- (334) 222-2073
- NPI assigned
- Sep 29, 2008
- Last updated
- Sep 28, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-073811 | AL | Primary |
Addresses
Primary practice location
301 Medical Ave Ste C
Andalusia, AL 36420-1105
Mailing address
PO Box 1720
Andalusia, AL 36420-1229
Phone (334) 222-2073
Other practice location 1
847 W Bypass Ste A
Andalusia, AL 36420-4747
Phone (334) 428-2273
Other practice location 2
848 S Three Notch St
Andalusia, AL 36420-5320
Phone (334) 427-3034
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510-09630 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| 237989 | Medicaid | AL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 Medical Park Dr
Suite B
Andalusia, AL 36420-5352
Phone (334) 222-1366
301 Medical Ave
Suite C
Andalusia, AL 36420-1105
Phone (334) 222-1211
7449 Eastchase Pkwy
Montgomery, AL 36117-6846
Phone (334) 747-4030
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 83 of 100
- Quality
- 64.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-073811 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Andalusia Physician Practices LLC | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Andalusia Physician Practices LLC | Current | Accepting new patients | |
| Emergency Services of Montgomery PC | Nurse Practitioner | Current | Accepting new patients |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Andalusia Physician Practices LLC | Nurse Practitioner | Current | Accepting new patients |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| The Health Care Authority for Baptist Health | Past | Accepting new patients | |
| Andalusia Professional Services LLC | Nurse Practitioner | Past | Accepting new patients |
| The Health Care Authority for Baptist Health an Affiliate of Uabhs | Past | Accepting new patients |
Locations
301 Medical Ave
Ste A
Andalusia, AL 36420
Phone (334) 222-9100
301 Medical Ave
Ste C
Andalusia, AL 36420
Phone (334) 222-1211
847 W Bypass
Ste A
Andalusia, AL 36420
Phone (334) 222-1366
1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552
2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211
2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390
7449 Eastchase Pkwy
Montgomery, AL 36117
Phone (334) 747-4030
124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
Interoperability endpoints
- kristy_hooks_-_np@yourcarecommunity.org
- kristy.hooks.1@19364.direct.athenahealth.com
Organizations & group practices 12
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.
-
dba Andalusia Neurology
- Neurology Physician
- Andalusia, AL
- NPI 1437202009
-
dba Montgomery Primary Medicine Associates
- Family Medicine Physician
- Montgomery, AL
- NPI 1982653390
-
- Emergency Medicine Physician
- Prattville, AL
- NPI 1528310323
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Centre, AL
- NPI 1932586476
-
dba Andalusia Family Healthcare
- Rural Health Clinic/Center
- Andalusia, AL
- NPI 1417663576
-
dba Andalusia Family Healthcare
- Family Medicine Physician
- Andalusia, AL
- NPI 1972870335
Nurse Practitioner
-
dba Baptist Health Care Partners
- Internal Medicine Physician
- Montgomery, AL
- NPI 1033534524
-
dba Montgomery Cardiovascular Associates
- Cardiovascular Disease Physician
- Montgomery, AL
- NPI 1427822279
-
dba MainStreet Family Care
- Rural Health Clinic/Center
- Eufaula, AL
- NPI 1588450316
-
- Emergency Medicine Physician
- Andalusia, AL
- NPI 1649726001
Nurse Practitioner
-
dba Baptist Medical Center South - Wound Care
- Clinic/Center
- Montgomery, AL
- NPI 1538347067
-
dba Prattville Baptist Hospital
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Andalusia Health
- General Acute Care Hospital
- Andalusia, AL
- NPI 1821078494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1891945614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1720",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364201229",
"telephone_number": "334-222-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MEDICAL AVE STE C",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364201105",
"telephone_number": "334-222-2073"
}
],
"practiceLocations": [
{
"address_1": "847 W Bypass Ste A",
"address_purpose": "LOCATION",
"city": "Andalusia",
"state": "AL",
"postal_code": "364204747",
"country_code": "US",
"telephone_number": "334-428-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "848 S Three Notch St",
"address_purpose": "LOCATION",
"city": "Andalusia",
"state": "AL",
"postal_code": "364205320",
"country_code": "US",
"telephone_number": "334-427-3034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLS",
"first_name": "KRISTY",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-29",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-073811",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
"identifier": "510-09630",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "237989",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Andalusia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.