Individual provider Active NPI

Kristin Flowers Mizerany, M.D.

  • Pediatrics Physician
  • Birmingham, AL
National Provider Identifier
1972746493
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.31849 Issued in AL
Practice address
3401 Independence Dr Ste 111
Birmingham, AL 35209-5662
Phone
(205) 870-1273
NPI assigned
Apr 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X MD.31849 AL Primary

Addresses

Primary practice location

3401 Independence Dr Ste 111
Birmingham, AL 35209-5662

Mailing address

3401 Independence Dr Ste 111
Homewood, AL 35209-5662
Phone (205) 870-1273

Other names 1

  • Kristin Flowers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.31849ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Children'S Hospital of Alabama Pediatrics Past Accepting new patients
The Children'S Hospital of Alabama Pediatrics Past Accepting new patients
The Children'S Hospital of Alabama Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kmizerany21459@childrensofalabama.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1972746493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 INDEPENDENCE DR STE 111",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095662",
            "telephone_number": "205-870-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 INDEPENDENCE DR STE 111",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095662",
            "telephone_number": "205-870-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZERANY",
        "first_name": "KRISTIN",
        "middle_name": "FLOWERS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.31849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "FLOWERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.