Individual provider Active NPI

Kristen Elizabeth Mabry, RN

  • Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1952987653
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-180050 Issued in AL
Practice address
1215 7TH St SE Ste G200
Decatur, AL 35601-3387
Phone
(256) 973-6995
Fax
(256) 973-6997
NPI assigned
Mar 22, 2021
Last updated
Aug 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-180050 AL Primary
Registered Nurse 163W00000X 1-180050 AL

Addresses

Primary practice location

1215 7TH St SE Ste G200
Decatur, AL 35601-3387

Mailing address

1215 7TH St SE Ste G200
Decatur, AL 35601-3387
Phone (256) 973-6995

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
I20260213003969 AL Practitioner - Nurse Practitioner 2365922887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

128 Shalerock Dr
Madison, AL 35756-3981

330 Franklin Rd
Suite 135 A270
Brentwood, TN 37027-2734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-180050ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Iris Medical Group Nurse Practitioner CurrentSince Jan 1, 2026 Accepting new patients
Everyday People Inc PastSince May 1, 2025 Accepting new patients
North Alabama Rehabilitation and Pain Specialist LLC PastSince Aug 1, 2018 Accepting new patients

Locations

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1952987653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 7TH ST SE STE G200",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013387",
            "telephone_number": "256-973-6995",
            "fax_number": "256-973-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 7TH ST SE STE G200",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013387",
            "telephone_number": "256-973-6995",
            "fax_number": "256-973-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABRY",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-180050",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-180050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.