Individual provider Active NPI

Kristina Waters, CRNP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1932797107
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-136874 Issued in AL
Practice address
3302 15TH St Ste 100
Tuscaloosa, AL 35401-2732
Phone
(205) 558-0877
Fax
(659) 219-7033
NPI assigned
Jan 4, 2021
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 1-136874 AL Primary

Addresses

Primary practice location

3302 15TH St Ste 100
Tuscaloosa, AL 35401-2732

Mailing address

PO Box 746063
Atlanta, GA 30374-6063
Phone (312) 733-9730

Other practice location 1

3909 McFarland Blvd
Northport, AL 35476-2838
Phone (205) 333-1993

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
I20220221000658 AL Practitioner - Nurse Practitioner 4385038165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

5911 Harris LN
Bessemer, AL 35022-7306
Phone (413) 781-0100

710 15TH St E
Tuscaloosa, AL 35401-3236
Phone (205) 526-2053

72 County Rd
Suite 304
Calera, AL 35040-5551
Phone (205) 319-8000

72 Hwy 304
Calera, AL 35040-5551
Phone (205) 319-8000

8151 Whitesburg Dr SE
Huntsville, AL 35802-4557
Phone (256) 882-9711

9070 Hwy 69 S
Tuscaloosa, AL 35405-8797
Phone (413) 887-6323

Midtown 710
Tuscaloosa, AL 35401-3236
Phone (205) 526-2053

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-136874ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whatley Health Services Inc CurrentSince Aug 1, 2022 Accepting new patients
Whatley Health Services, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Oak Street Health Physicians Group of Alabama, LLC Family CurrentSince Dec 16, 2024 Accepting new patients

Locations

1687 Center Point Pkwy
Ste 121
Birmingham, AL 35215
Phone (205) 557-7022

633 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 235-4003

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

3302 15th St
Ste 100
Tuscaloosa, AL 35401
Phone (205) 558-0877

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1932797107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746063",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746063",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 15TH ST STE 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012732",
            "telephone_number": "205-558-0877",
            "fax_number": "659-219-7033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 McFarland Blvd",
            "address_purpose": "LOCATION",
            "city": "Northport",
            "state": "AL",
            "postal_code": "354762838",
            "country_code": "US",
            "telephone_number": "205-333-1993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "KRISTINA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-136874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.