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

Kimberly C Boackle, CRNP

Individual provider Family Nurse Practitioner · NPI 1174924880

Kimberly C Boackle, CRNP is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2014, 12 years ago. Practices with Cooper Green Mercy Health Services Authority an Affiliate of UAB, a 96-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
12
Licensed in
AL
In the registry since
2014
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1509 6th Ave S
Birmingham, AL 35233-1601
Phone: (205) 930-3204
Fax: (205) 930-3433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-072947 (AL)

Record details

NPI number1174924880
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedSeptember 12, 2014
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cooper Green Mercy Health Services Authority An Affiliate Of Uab — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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