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

Tyler Keenum, CRNP

Individual provider Nurse Practitioner · NPI 1073041505

Tyler Keenum, CRNP is a Nurse Practitioner in Tuscaloosa, Alabama. Qualified in 2015, 11 years ago. Practices with West Alabama AIDS Outreach Inc, a 16-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
11
Licensed in
AL
In the registry since
2017
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

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Practice location Address checks out

2703 7th St
Tuscaloosa, AL 35401-1865
Phone: (205) 759-8470
Fax: (205) 366-9001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2720 6th St, Tuscaloosa, AL 35401-1731 — (205) 759-8470
  • 850 5th Ave E, Tuscaloosa, AL 35401-7419 — (205) 348-1770

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1-142399 (AL)

Record details

NPI number1073041505
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMay 29, 2017
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address2703 7th St, Tuscaloosa, AL 35401-1865

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice West Alabama Aids Outreach Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tuscaloosa