Individual provider Active NPI

Kelley Danielle Fry, MSN, CRNP, FNP-BC

  • Family Nurse Practitioner
  • Hoover, AL
National Provider Identifier
1922674035
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-143836 Issued in AL
Practice address
1989 Montgomery Hwy
Hoover, AL 35244-1112
Phone
(659) 599-9512
NPI assigned
May 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 1-143836 AL
Family Nurse Practitioner 363LF0000X 1-143836 AL Primary

Addresses

Primary practice location

1989 Montgomery Hwy
Hoover, AL 35244-1112

Mailing address

1989 Montgomery Hwy
Hoover, AL 35244-1112
Phone (659) 599-9512

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
I20210621003529 AL Practitioner - Nurse Practitioner 8820498314 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians
Advantage Family Care IncGroup PAC ID 7618103748, 56 clinicians

Practice addresses (Care Compare)

120 Colonial Promenade Pkwy
Alabaster, AL 35007-3155
Phone (205) 605-0495

1989 Montgomery Hwy
Hoover, AL 35244-1112
Phone (659) 599-9512

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-143836ALMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Family Care Inc CurrentSince Jul 18, 2024 Accepting new patients
American Family Care, LLC General Practice Current Accepting new patients
American Family Care, LLC General Practice CurrentSince Jun 14, 2021 Accepting new patients
Advantage Family Care, Inc. CurrentSince Jul 18, 2024 Accepting new patients
Southern Immediate Care, LLC CurrentSince Nov 1, 2023 Accepting new patients
American Family Care, LLC CurrentSince Jun 14, 2021 Accepting new patients

Locations

120 Colonial Promenade Pkwy
Alabaster, AL 35007
Phone (205) 605-0495

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

1115 Beltline Rd SE
Ste 400
Decatur, AL 35601
Phone (256) 898-3004

150 Tompkins St
Heflin, AL 36264
Phone (256) 463-2390

225 Helena Market Pl
Helena, AL 35080
Phone (205) 409-2794

1989 Montgomery Hwy
Hoover, AL 35244
Phone (659) 599-9512

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1622246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1922674035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 MONTGOMERY HWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441112",
            "telephone_number": "659-599-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 MONTGOMERY HWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441112",
            "telephone_number": "659-599-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "KELLEY",
        "middle_name": "DANIELLE",
        "credential": "MSN, CRNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-29",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "1-143836",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-143836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.