Active NPI
Angela Kuykendall, CRNP
- Family Nurse Practitioner
- Jasper, AL
National Provider Identifier
1104242395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-077703
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.45 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-077703 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuscaloosa Medcenter North, LLC | Past | Accepting new patients | |
| Urgent Care Northwest PC | Past | Accepting new patients | |
| Urgent Care Northwest PC | Past | 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 | Past | Accepting new patients |
Interoperability endpoints
- angela.kuykendall.1@15818.direct.athenahealth.com
- https://api.platform.athenahealth.com/15818/brand/1/csg/1/fhir/r4
- 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.
-
- Family Medicine Physician
- Demopolis, AL
- NPI 1184913030
-
- Family Medicine Physician
- Fayette, AL
- NPI 1235590001
-
- Family Medicine Physician
- Northport, AL
- NPI 1922546357
-
- Family Medicine Physician
- Northport, AL
- NPI 1972518777
-
- Family Medicine Physician
- Tuscaloosa, AL
- NPI 1689689481
-
- Family Medicine Physician
- Hazel Green, AL
- NPI 1508749342
-
- Family Medicine Physician
- Huntsville, AL
- NPI 1881577625
-
- Family Medicine Physician
- Hartselle, AL
- NPI 1942183785
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
- Joshua Knight, PHARMD
- Madison Knighton, PT, DPT
- Sarah Kolb
- Melanie Smoke Kollars, NP
- Koslin & Kahn, P.C.
- Laboratory Corporation of America
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.