Individual provider Active NPI

Rachyl Cheyenne Kelley-Debord

  • Family Nurse Practitioner
  • Attalla, AL
National Provider Identifier
1114894946
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-182349 Issued in AL
Practice address
96 Red Hill Church Rd
Attalla, AL 35954-5673
Phone
(256) 490-0614
NPI assigned
Oct 17, 2025
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-182349 AL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-182349 AL

Addresses

Primary practice location

96 Red Hill Church Rd
Attalla, AL 35954-5673

Mailing address

96 Red Hill Church Rd
Attalla, AL 35954-5673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260304001084 AL Practitioner - Nurse Practitioner 9032691597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inceptivia Health and Wellness LLCGroup PAC ID 3971969908, 2 clinicians

Practice addresses (Care Compare)

404 4TH St NW
Attalla, AL 35954-2227
Phone (256) 344-5049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-182349ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inceptivia Health & Wellness LLC CurrentSince Jan 24, 2026 Accepting new patients

Locations

404 4th St NW
Attalla, AL 35954
Phone (256) 344-5049

Interoperability endpoints

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

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": "1760659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1114894946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 RED HILL CHURCH RD",
            "city": "ATTALLA",
            "state": "AL",
            "postal_code": "359545673",
            "fax_number": "256-399-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 RED HILL CHURCH RD",
            "city": "ATTALLA",
            "state": "AL",
            "postal_code": "359545673",
            "telephone_number": "256-490-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY-DEBORD",
        "first_name": "RACHYL",
        "middle_name": "CHEYENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-17",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-182349",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-182349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attalla, AL

Sources for this page

Verify at the official NPI Registry.