Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amber Farris

Individual provider General Practice Registered Nurse · NPI 1396561957

Amber Farris is a Nurse Practitioner in Haleyville, Alabama. Qualified in 2024, 2 years ago. Practices with Revive Medical Center LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
2
Licensed in
AL
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1728 11th Ave
Haleyville, AL 35565-1506
Phone: (205) 485-7822
Fax: (833) 449-4072
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-108853 (AL)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 1-108853 (AL)

Record details

NPI number1396561957
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 28, 2024
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024
Mailing address1728 11th Ave, Haleyville, AL 35565-1506

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Revive Medical Center Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount