Individual provider Active NPI

Angela Kuykendall, CRNP

  • Family Nurse Practitioner
  • Jasper, AL
National Provider Identifier
1104242395
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-077703 Issued in AL
Practice address
2700 Highway 78 W
Jasper, AL 35501-7505
Phone
(205) 387-2253
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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 1-077703 AL Primary

Addresses

Primary practice location

2700 Highway 78 W
Jasper, AL 35501-7505

Mailing address

PO Box 708
Jasper, AL 35502-0708
Phone (205) 387-2253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as group
Quality
80.27
Promoting interoperability
100
Improvement activities
40
Cost
71.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-077703ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tuscaloosa Medcenter North, LLC Past Accepting new patients
Urgent Care Northwest PC PastSince Aug 1, 2025 Accepting new patients
Urgent Care Northwest PC PastSince Aug 1, 2025 Accepting new patients
Tuscaloosa Medcenter South, LLC Past Accepting new patients
Medcenter Fayette, LLC Family Past Accepting new patients
Medcenter Primary Care, LLC Family Past Accepting new patients
Medcenter Demopolis, LLC Past Accepting new patients
Urgent Care Northwest PC PastSince Aug 1, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: angela.kuykendall.1@15818.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15818/brand/1/csg/1/fhir/r4
  • Direct secure messaging: angela.kuykendall.1@31652.direct.athenahealth.com

Organizations & group practices 8

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": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1104242395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355020708",
            "telephone_number": "205-387-2253",
            "fax_number": "205-387-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HIGHWAY 78 W",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355017505",
            "telephone_number": "205-387-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUYKENDALL",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-077703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.