Individual provider Active NPI

Kaydra Haywood

  • Social Worker
  • Montgomery, AL
National Provider Identifier
1033891338
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6066G Issued in AL
Practice address
3820 Harrison Rd
Montgomery, AL 36109-4508
Phone
(334) 303-5987
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6066G AL Primary

Addresses

Primary practice location

3820 Harrison Rd
Montgomery, AL 36109-4508

Mailing address

2633 Burkelaun Dr
Montgomery, AL 36111-3003
Phone (334) 303-5987

Other practice location 1

2633 Burkelaun Dr
Montgomery, AL 36111-3003
Phone (334) 303-5987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6066GALMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1033891338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 BURKELAUN DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361113003",
            "telephone_number": "334-303-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 HARRISON RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361094508",
            "telephone_number": "334-303-5987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2633 Burkelaun Dr",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361113003",
            "country_code": "US",
            "telephone_number": "334-303-5987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYWOOD",
        "first_name": "KAYDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "6066G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.