HOMETOWN FAMILY MEDICINE, INC. (NPI# 1013318070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013318070 |
| Entity Type | Organization |
| Organization Name | HOMETOWN FAMILY MEDICINE, INC. |
| Practice Address |
2846 Moody Pkwy Moody AL 35004-3328 |
| Practice Telephone | 2056401756 |
| Practice Fax Number | 2056401796 |
| Mailing Telephone | 2056401756 |
| Mailing Fax Number | 2056401796 |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-10-28 |
| Authorized Official Name | KALA BLAKELY (OWNER/NURSE PRACTITIONER) |
| Authorized Official Telephone | 2056401756 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1124159 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2846 MOODY PKWY |
| City | MOODY |
| State | AL |
| Zip Code | 35004-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285659821 | Wendy C Nelson | Physical Therapist | 2846 Moody Pkwy, Ste 200, Moody, AL 35004-3328 | 2006-07-13 |
| 1255705869 | Brandon Wayde Bunch | Physical Therapist | 2846 Moody Pkwy, Ste 200, Moody, AL 35004-3328 | 2015-11-19 |
| 1295136901 | Ashley Little | Nurse Practitioner | 2846 Moody Pkwy, Suite 300, Moody, AL 35004-3328 | 2014-09-12 |
| 1235428731 | Kala Blakely | Nurse Practitioner | 2846 Moody Pkwy, Suite 300, Moody, AL 35004-3328 | 2011-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757420 | Dpi of Alabama LLC | Pain Medicine | 3310 Kelly Creek Rd, Moody, AL 35004 | 2018-04-17 |
| 1215085212 | Joy D Donaldson | Pharmacist | 1005 Moody Crossroads Drive, Moody, AL 35004 | 2007-01-08 |
| 1780764639 | Robert Anthony Funk | Physical Therapist | 2846 Moody Pkwy Ste 200, Moody, AL 35004 | 2006-10-16 |
| 1366436156 | Complete Healthcare Center, Inc. | Family Medicine | 2701 Moody Parkway, Moody, AL 35004 | 2005-09-07 |
| 1316431448 | Rebecca Crenshaw Tindle | Pharmacist | 2200 Village Dr, Moody, AL 35004 | 2018-06-21 |
| 1386184612 | Katelyn Campisi | Nurse Practitioner | 2834 Moody Pkwy, Moody, AL 35004 | 2017-03-06 |
| 1033653563 | Anne Claire Craig | Physical Therapist | 2846 Moody Pkwy Ste 200, Moody, AL 35004 | 2016-12-19 |
| 1366840357 | Christopher Scott Baker | Physical Therapist | 2846 Moody Pkwy Ste 200, Moody, AL 35004 | 2014-12-08 |
| 1376651992 | Lea C Clayton | Family Medicine | 2834 Moody Pkwy, Moody, AL 35004 | 2006-08-25 |
| 1043205776 | Lisa R Newman | Nurse Practitioner | 2701 Moody Parkway, Moody, AL 35004 | 2005-09-19 |
| Find all providers in zip 35004 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457836330 | Dana Gamel | Nurse Practitioner | 2846 Moody Pkwy Ste 300, Moody, AL 35004-3328 | 2018-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765872 | Tracie Diane Lavinsky | Nurse Practitioner | 13025 Alla Dr, Coker, AL 35452-3780 | 2020-09-21 |
| 1861007957 | Kerri Lane Griffin | Nurse Practitioner | 1275 James Dr Ste A, Enterprise, AL 36330-2484 | 2020-09-15 |
| 1457971079 | Lindsay Morris | Nurse Practitioner | 122 7th Ave Ne Ste D, Alabaster, AL 35007-9121 | 2020-04-23 |
| 1508492505 | Tiffany Michele Folse | Nurse Practitioner | 9618 Chariot Ave, Fairhope, AL 36532-7412 | 2020-03-21 |
| 1548809239 | Isuan Iriabho | Nurse Practitioner | Russell Medical Center, 3316 Us-280, Alexander City, AL 35010-9114 | 2019-12-30 |
| 1104476423 | Anaidra L Reese | Nurse Practitioner | 2079 S Evergreen Dr, Auburn, AL 36830-6942 | 2019-09-18 |
| 1104481944 | Deanna Montieth | Nurse Practitioner | 718 Downtowner Loop W, Mobile, AL 36609-5504 | 2019-05-07 |
| 1538622055 | Dana Marie Register | Nurse Practitioner | 11119 S County Road 49, Slocomb, AL 36375-5871 | 2019-04-11 |
| 1396218707 | Christine Wood | Nurse Practitioner | 4704 Whitesburg Dr Sw Ste 100, Huntsville, AL 35802-4302 | 2019-01-08 |
| 1780151514 | Mary Virginia Halbrooks | Nurse Practitioner | 1001 Hill St Sw, Hartselle, AL 35640-2801 | 2018-10-30 |
| Find all providers with the same taxonomy | ||||
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| 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.