Individual provider Active NPI

Katelyn Perry Barnes, NP-C, FNP

  • Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1003477092
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-150679 Issued in AL
Practice address
488 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone
(334) 288-7808
Fax
(334) 288-8089
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-150679 AL
Nurse Practitioner 363L00000X 1-150679 AL Primary

Addresses

Primary practice location

488 Saint Lukes Dr
Montgomery, AL 36117-7104

Mailing address

488 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone (334) 288-7808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200113001352 AL Practitioner - Nurse Practitioner 2567897952 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Wellness Centers, LLCGroup PAC ID 2961801352, 10 clinicians

Practice addresses (Care Compare)

7205 Copperfield Dr
Montgomery, AL 36117-7101
Phone (334) 249-2577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 22, 2022 Accepting new patients
Paragon Contracting Services LLC Nurse Practitioner CurrentSince Jan 1, 2020 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 22, 2022 Accepting new patients
First Choice Wellness Centers, LLC CurrentSince Sep 1, 2025 Accepting new patients
First Choice Wellness Centers, LLC Current Accepting new patients
First Choice Wellness Centers, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

7205 Copperfield Dr
Montgomery, AL 36117
Phone (334) 249-2577

23000 Town Center Ave
#804
Spanish Fort, AL 36527

600 Commons Dr
Ste 101A
Gallatin, TN 37066

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1003477092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 SAINT LUKES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177104",
            "telephone_number": "334-288-7808",
            "fax_number": "334-288-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 SAINT LUKES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177104",
            "telephone_number": "334-288-7808",
            "fax_number": "334-288-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "KATELYN",
        "middle_name": "PERRY",
        "name_prefix": "Mrs.",
        "credential": "NP-C, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-150679",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-150679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.