MRS. KIMBERLY KAY BUDISALICH CRNP NPI 1508099110

NPI Information

NPI: 1508099110
Provider Name: MRS. KIMBERLY KAY BUDISALICH, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: DECATUR MORGAN EMERGENCY MEDICINE

PECOS Registration: Yes

Address:
2828 HIGHWAY 31 S STE 114
DECATUR, AL
ZIP 35603
Phone: (256) 355-5313
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MRS. Kimberly Kay Budisalich, CRNP is a family nurse practitioner in Decatur, AL with 15 years of experience. MRS. Kimberly Kay Budisalich, CRNP NPI is 1508099110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2828 HIGHWAY 31 S STE 114
DECATUR, AL
ZIP 35603-538
Phone: (256) 355-5313

The NPI 1508099110 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/29/2009 and was last updated on 12/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	1-105634	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	102I507804	OTHER	ALABAMA	MEDICARE PRIVIDER TRANSACTION ACCESS NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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