Individual provider Active NPI

Kelly Butler

  • Family Nurse Practitioner
  • Selma, AL
National Provider Identifier
1013774652
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-074145 Issued in AL
Practice address
1475 Al Highway 14 E
Selma, AL 36703-2996
Phone
(334) 526-3240
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-074145 AL Primary

Addresses

Primary practice location

1475 Al Highway 14 E
Selma, AL 36703-2996

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Phone (205) 545-5088

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
I20240320001558 AL Practitioner - Nurse Practitioner 4880031319 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Internal Medicine Associates, LLC 123 clinicians

Practice addresses (Care Compare)

1088 9TH Ave SW
Suite 104
Bessemer, AL 35022-7834
Phone (205) 426-0546

Hospital & facility affiliations

  • Medical West, an Affiliate of Uab Health System Hospital, Bessemer, AL, CCN 010114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-074145ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Feb 11, 2024 Accepting new patients
Birmingham Internal Medicine Associates, LLC Family CurrentSince Apr 28, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 1, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Feb 11, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

9149 Highway 119
Alabaster, AL 35007
Phone (659) 242-5456

1088 9th Ave SW
Ste 104
Bessemer, AL 35022
Phone (205) 424-7064

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

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

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

2731 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 548-4102

1475 AL Highway 14 E
Selma, AL 36703
Phone (334) 430-1799

Interoperability endpoints

  • Direct secure messaging: kelly.butler.1@15135.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1013774652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866",
            "telephone_number": "205-545-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 AL HIGHWAY 14 E",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367032996",
            "telephone_number": "334-526-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-074145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

Verify at the official NPI Registry.