Individual provider Active NPI

Katie Henderson Meadows, CPNP-PC

  • Pediatric Nurse Practitioner
  • Opelika, AL
National Provider Identifier
1093332280
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-126035 Issued in AL
Practice address
2901 Corporate Park Dr
Opelika, AL 36801-7283
Phone
(334) 203-1766
Fax
(334) 203-1784
NPI assigned
Jul 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1-126035 AL Primary

Addresses

Primary practice location

2901 Corporate Park Dr
Opelika, AL 36801-7283

Mailing address

2901 Corporate Park Dr
Opelika, AL 36801-7283
Phone (334) 203-1766

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
1-126035ALMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Auburn CurrentSince Jul 20, 2021 Accepting new patients

Locations

2901 Corporate Park Dr
Opelika, AL 36801
Phone (334) 203-1766

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1093332280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CORPORATE PARK DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017283",
            "telephone_number": "334-203-1766",
            "fax_number": "334-203-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CORPORATE PARK DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017283",
            "telephone_number": "334-203-1766",
            "fax_number": "334-203-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "KATIE",
        "middle_name": "HENDERSON",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-126035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.