Individual provider Active NPI

Kay Parker-Phillips, MSN, CRNP

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1073718847
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-048723 Issued in AL
Practice address
1 Independence PLZ
Suite 900
Birmingham, AL 35209-2629
Phone
(205) 271-8000
Fax
(205) 271-8022
NPI assigned
Jun 20, 2007
Last updated
Dec 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-048723 AL Primary

Addresses

Primary practice location

1 Independence PLZ
Suite 900
Birmingham, AL 35209-2629

Mailing address

1 Independence PLZ
Suite 900
Birmingham, AL 35209-2629
Phone (205) 271-8000

Other identifiers 4

IdentifierTypeStateIssuer
104170MedicaidAL
GROUP # P00617303OtherALRAILROAD MEDICARE PART B
510I500083OtherMEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
515-46309OtherALBLUE CROSS AND BLUE SHIELD OF ALABAMA UNIQUE PROVIDER ID NUMBER (UPIN)

Other names 1

  • Ms. Kay Parker-Phillips Professional name

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)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1-048723ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Digestive Disorders Center, PC PastSince Sep 7, 2018 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCJJAA

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1073718847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLZ",
            "address_2": "SUITE 900",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092629",
            "telephone_number": "205-271-8000",
            "fax_number": "205-271-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLZ",
            "address_2": "SUITE 900",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092629",
            "telephone_number": "205-271-8000",
            "fax_number": "205-271-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER-PHILLIPS",
        "first_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-048723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104170",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "GROUP # P00617303",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)",
            "identifier": "510I500083",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF ALABAMA UNIQUE PROVIDER ID NUMBER (UPIN)",
            "identifier": "515-46309",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "PARKER-PHILLIPS",
            "prefix": "MS.",
            "credential": "MSN, CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.