MRS. KONDA KEEBLER (NPI# 1053802009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053802009 |
Entity Type | Individual |
Full Name | MRS. KONDA KEEBLER |
Credential | NP |
Practice Address |
7001 Crestwood Blvd/suite 804 Birmingham AL 35210 |
Mailing Address |
2016 Shady Ln Hueytown AL 35023-2926 |
Practice Telephone | 2055186421 |
Enumeration Date | 2018-05-25 |
Last Update Date | 2018-05-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1-131508 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
7001 CRESTWOOD BLVD/SUITE 804 |
City | BIRMINGHAM |
State | AL |
Zip Code | 35210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639712581 | Jordan Leigh Jackson | Counselor | 1914 5th Ave S, Irondale, AL 35210 | 2019-10-23 |
1689147068 | Greater Birmingham Transportation Services | Taxi | 5804 Oporto Madrid Blvd S, Birmingham, AL 35210 | 2019-01-08 |
1841675865 | Kolbe Clinic LLC | Counselor | 1830 Montclair Rd Ste A, Irondale, AL 35210 | 2015-07-21 |
1609270826 | Patricia Abrahan Ocampo | Occupational Therapist | 5000 Grantswood Rd Ste 220, Irondale, AL 35210 | 2014-10-17 |
1154766905 | John Charles Hammond | Psychiatry & Neurology | 4984 Overton Rd, Birmingham, AL 35210 | 2013-05-07 |
1073807871 | Farah Yasmeen Ghori-javed | Internal Medicine | 4500 Montevallo Rd Ste B101, Irondale, AL 35210 | 2011-06-09 |
1134459084 | Hospice Advantage, LLC. | Hospice Care, Community Based | 2435 1st Avenue South, Irondale, AL 35210 | 2009-12-28 |
1902063555 | Robert Lumpkin | Dentist | 7970 Crestwood Blvd, Irondale, AL 35210 | 2008-05-21 |
1205920725 | Stacey Shipman | Speech-Language Pathologist | 4778 Overton Road, Birmingham, AL 35210 | 2006-10-02 |
1659347581 | Natashia Rebecca Conley | Internal Medicine | 1848 Crestwood Blvd, American Family Care Inc, Birmingham, AL 35210 | 2006-02-28 |
Find all providers in zip 35210 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619495348 | Hayley Graham Entrekin | Nurse Practitioner | 500 22nd St S Ste 506, Birmingham, AL 35233-3110 | 2017-09-01 |
1952851669 | Holly Marie Strauss | Nurse Practitioner | 1791 Cahaba Valley Rd, Birmingham, AL 35242 | 2016-10-05 |
1548653405 | Natalie Mcrae | Nurse Practitioner | 619 19th St S # Wpp333, Birmingham, AL 35249-6979 | 2015-03-16 |
1184851966 | Barbara A Boreen | Nurse Practitioner | 833 Saint Vincents Dr Ste 501, Pob IIi, Birmingham, AL 35205-1619 | 2009-06-18 |
1538269618 | Natalie Alicia Floyd | Nurse Practitioner | 700 19th Street South, Birmingham, AL 35233 | 2006-09-25 |
1144263898 | Amanda Couch Crawford | Nurse Practitioner | 701 Princeton Ave Sw Ste 4102, Birmingham, AL 35211-1303 | 2006-06-13 |
1013484278 | Rebecca Elizabeth Smith | Nurse Practitioner | 1400 6th Ave S, Birmingham, AL 35233-1502 | 2018-10-25 |
1588158877 | Samantha Diane Williams | Nurse Practitioner | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2018-06-19 |
1164969531 | Haley Dye Lacey | Nurse Practitioner | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2017-01-24 |
1417493784 | Jill Arora | Nurse Practitioner | 4902 Valleydale Rd, Birmingham, AL 35242-4613 | 2017-01-11 |
Find all providers in BIRMINGHAM |
City | BIRMINGHAM |
Zip Code | 35210 |
Please comment or provide details below to improve the information on MRS. KONDA KEEBLER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.