KRISTIN MOUDRY (NPI# 1720568363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720568363 |
| Entity Type | Individual |
| Full Name | KRISTIN MOUDRY |
| Credential | CRNP |
| Practice Address |
100 Rice Mine Rd N Tuscaloosa AL 35406-2300 |
| Practice Telephone | 2053494200 |
| Mailing Telephone | 2053494200 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-122592 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 RICE MINE RD N |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35406-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205866142 | Keith E Jackson | Nurse Anesthetist, Certified Registered | 100 Rice Mine Rd N, Tuscaloosa, AL 35406-2300 | 2006-07-04 |
| 1093263519 | Biogastrex, LLC | Internal Medicine | 100 Rice Mine Rd N, Suite E, Tuscaloosa, AL 35406-2300 | 2016-09-13 |
| 1326447236 | Tc Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 100 Rice Mine Rd N, Suite E, Tuscaloosa, AL 35406-2300 | 2014-08-15 |
| 1790101541 | Institute of Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 100 Rice Mine Rd N, Suite E, Tuscaloosa, AL 35406-2300 | 2014-03-17 |
| 1114362365 | Anesthesia Services of Alabama Inc | Anesthesiology | 100 Rice Mine Rd N, Ste E, Tuscaloosa, AL 35406-2375 | 2013-05-01 |
| 1467739235 | Linda C Canterbury | Nurse Practitioner | 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2300 | 2011-11-08 |
| 1821390600 | Toni J Savage | Nurse Practitioner | 100 Rice Mine Rd N, Suite E, Tuscaloosa, AL 35406-2300 | 2010-11-29 |
| 1154654374 | Tracy Christian Grissett | Nurse Practitioner | 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2300 | 2009-09-08 |
| 1306083936 | Gopal K Kaza | Internal Medicine | 100 Rice Mine Rd N, Suite E, Tuscaloosa, AL 35406-0839 | 2009-01-20 |
| 1275725673 | Gastroenterology Consultants of Tuscaloosa Inc | Clinic/Center | 100 Rice Mine Rd N, Ste E, Tuscaloosa, AL 35406-2375 | 2007-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134757735 | Susan Tingle Mills | Counselor | 1470 Northbank Parkway, Tuscaloosa, AL 35406 | 2020-03-30 |
| 1508416314 | Carehere LLC | Family Medicine | Carehere Clinic-mercedes Tuscaloosa Health and Wellness, 971 Fairfax Park, Suite B, Tuskaloosa, AL 35406 | 2019-09-13 |
| 1093275364 | Medfusions | Nurse Anesthetist, Certified Registered | 120 Rice Mine Road N, Tuscaloosa, AL 35406 | 2019-03-22 |
| 1891144259 | Gregory Chad Green, Od, PC | Optometrist | 1490 Northbank Parkway, Suite 120, Tuscaloosa, AL 35406 | 2016-06-07 |
| 1164767083 | First Care LLC | Clinic/Center | 1251 Mcfarland Blvd. Ne, Tuscaloosa, AL 35406 | 2012-12-04 |
| 1144520487 | Ladonna Demetrice Snider | Registered Nurse | 825 Rice Mine Road No., Tuscaloosa, AL 35406 | 2010-11-02 |
| 1699923102 | Nancy M. Tactuk Romanenko | Internal Medicine | 1015 Rice Valley Rd N, Tuscaloosa, AL 35406 | 2008-09-09 |
| 1912042433 | Patrick Bruce Atkins | Psychiatry & Neurology | 1649 Mcfarland Boulevard North, Suite 201, Tuscaloosa, AL 35406 | 2007-02-21 |
| 1073663555 | Mark Linden Prohaska | Clinical Neuropsychologist | 100 Rice Mine Road, Suite 303, Tuscaloosa, AL 35406 | 2007-01-10 |
| 1225197155 | Jane Watkins Phd | Counselor | 150 Rice Mine Road, Suite B, Tuscalcosa, AL 35406 | 2006-12-06 |
| Find all providers in zip 35406 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194208439 | Adrian W Roberts | Nurse Practitioner | 100 Rice Mine Road Loop Ste 104, Tuscaloosa, AL 35406-2421 | 2018-09-12 |
| 1174010086 | Lindsey Brooke Reed Pate | Nurse Practitioner | 640 Hartford Dr, Tuscaloosa, AL 35406-1799 | 2018-04-16 |
| 1841735693 | James Stratton Williamson | Nurse Practitioner | 9070 Highway 69 S, Tuscaloosa, AL 35405-8797 | 2017-01-04 |
| 1750837449 | Kaitlin Callaway | Nurse Practitioner | 3643 Northridge Cir, Tuscaloosa, AL 35406-1412 | 2016-09-01 |
| 1881069474 | Dhl Mobile Healthcare LLC | Nurse Practitioner | 7700 Highway 69 S Ste B, Tuscaloosa, AL 35405 | 2015-12-08 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1902288848 | Tiffany Williams | Nurse Practitioner | 700 Stonebrae Rd, Tuscaloosa, AL 35406-2428 | 2015-06-27 |
| 1750761961 | Clara R Owings | Nurse Practitioner | 650 University Blvd E, Tuscaloosa, AL 35401-2016 | 2015-06-02 |
| 1881073591 | Lorie Givens | Nurse Practitioner | 120 Rice Mine Rd N, Tuscaloosa, AL 35406-3901 | 2015-05-27 |
| 1780075077 | Lesley Handjis | Nurse Practitioner | 1100 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2015-02-09 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35406 |
Please comment or provide details below to improve the information on KRISTIN MOUDRY.
| 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.