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RIVERSIDE FAMILY HEALTH LLC
NPI 1851652416
Nurse Practitioner - Family in Decatur, AL

Active since May 30, 2012CLIA 01D2101314 · Waiver
1501 7TH ST SE STE A, DECATUR, AL 35601(256) 355-7665(256) 686-3241 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2023, Jul 23, 2020, May 7, 2019 (3 updates tracked since 2019).

About Riverside Family Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE FAMILY HEALTH LLC (NPI 1851652416) is a healthcare organization registered as a family in Decatur, Alabama and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Crystal Leann Landrum, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851652416
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRIVERSIDE FAMILY HEALTH LLC
Location Address1501 7TH ST SE STE ADecatur, AL 35601-3375
Mailing Address1501 7th St Se Ste ADecatur, AL 35601-3375 · (256) 355-7665 · Fax (256) 686-3241
Phone(256) 355-7665
Fax(256) 686-3241
Organization SubpartNo
Authorized OfficialCrystal Leann LandrumCeo · (256) 355-7665
Enumeration DateMay 30, 2012
Last NPPES UpdateJuly 31, 20253 updates tracked since enumeration
NPPES CertifiedJuly 31, 2025
✔ NPI 1851652416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-093034
1501 7TH ST SE STE A, Decatur, AL 35601
Open in Google Maps ↗

Other Identifiers 4

Medicaid138745AL
Other12404856AL · Caqh
Medicaid140473AL
Other51126863AL · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2101314

Riverside Family Health LLC · Decatur, AL
Active · expires Aug 31, 2027
CLIA Number01D2101314
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorMicah A. Howard
Laboratory Phone(256) 355-7665
Laboratory LocationRiverside Family Health LLC1501 7th St SE, Suite A, Decatur, AL 35601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CRYSTAL LEANN LANDRUM BC-FNP
Nurse Practitioner (Family)
1501 7TH ST SE STE A
DECATUR, AL 35601
Morgan County (256) 355-7665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Family Health LLC's NPI number?

The NPI number for Riverside Family Health LLC is 1851652416. It was assigned to this organization in the NPPES registry on May 30, 2012.

Where is Riverside Family Health LLC located?

Riverside Family Health LLC is located at 1501 7th St SE Ste A, Decatur, AL 35601. The listed phone number is (256) 355-7665.

What is Riverside Family Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Riverside Family Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2101314) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Riverside Family Health LLC was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.