Provider Demographics
NPI:1053981803
Name:FEBLES, KRISTIE NOWELL
Entity type:Individual
Prefix:
First Name:KRISTIE
Middle Name:NOWELL
Last Name:FEBLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 SOUTH HIGH STREET
Mailing Address - Street 2:
Mailing Address - City:TUSCUMBIA
Mailing Address - State:AL
Mailing Address - Zip Code:35674
Mailing Address - Country:US
Mailing Address - Phone:256-335-0688
Mailing Address - Fax:
Practice Address - Street 1:608 SOUTH HIGH STREET
Practice Address - Street 2:
Practice Address - City:TUSCUMBIA
Practice Address - State:AL
Practice Address - Zip Code:35674
Practice Address - Country:US
Practice Address - Phone:256-335-0688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No172A00000XOther Service ProvidersDriver
No174H00000XOther Service ProvidersHealth Educator
No282E00000XHospitalsLong Term Care Hospital
No283X00000XHospitalsRehabilitation Hospital
No286500000XHospitalsMilitary Hospital
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider