Active NPI
Kristina Waters, CRNP
- Family Nurse Practitioner
- Tuscaloosa, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-136874
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-136874 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-136874 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whatley Health Services Inc | Current | Accepting new patients | |
| Whatley Health Services, Inc. | Current | Accepting new patients | |
| Oak Street Health Physicians Group of Alabama, LLC | Family | Current | 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.
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1669429080
-
dba Maude L. Whatley Health Centers
- Federally Qualified Health Center (FQHC)
- Tuscaloosa, AL
- NPI 1063422756
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1770161432
Family
-
dba Whatley Health Services Pharmacy
- Community/Retail Pharmacy
- Tuscaloosa, AL
- NPI 1477276749
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba DCH Health & Wellness Clinic
- Clinic/Center
- Tuscaloosa, AL
- NPI 1306613211
Hospital
-
dba DCH Outpatient Services
- Clinic/Center
- Tuscaloosa, AL
- NPI 1780927681
Hospital
-
dba DCH Regional Medical Center
- General Acute Care Hospital
- Tuscaloosa, AL
- NPI 1841394418
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.