Individual provider Active NPI

Kathy J Hintz, PA

  • Physician Assistant
  • Bayou la Batre, AL
National Provider Identifier
1114978004
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA299 Issued in AL
Practice address
13833 Tapia Ave
Bayou la Batre, AL 36509-2515
Phone
(251) 824-8320
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA299 AL Primary

Addresses

Primary practice location

13833 Tapia Ave
Bayou la Batre, AL 36509-2515

Mailing address

5750A Southland Dr
Mobile, AL 36693-3316

Other identifiers 1

IdentifierTypeStateIssuer
1114978004OtherALNPI

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
I20090602000522 AL Practitioner - Physician Assistant 3779633391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altapointe Health Systems IncGroup PAC ID 1052224052, 97 clinicians

Practice addresses (Care Compare)

13833 Tapia Ave
Bayou la Batre, AL 36509-2515
Phone (251) 450-2211

2400 Gordon Smith Dr
Mobile, AL 36617-2319
Phone (251) 450-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA299ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Altapointe Health Systems, Inc. CurrentSince Aug 17, 2020 Accepting new patients
Altapointe Health Systems, Inc. CurrentSince Aug 17, 2020 Accepting new patients
Altapointe Health Systems, Inc. Past Accepting new patients

Locations

13833 Tapia Ave
Bayou Labatre, AL 36509
Phone (251) 824-4985

12701 Padgett Switch Rd
Irvington, AL 36544
Phone (251) 824-2174

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

6908 Providence Park Dr S
Mobile, AL 36695
Phone (251) 660-3490

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

1015 Montlimar Dr
Ste A210
Mobile, AL 36609
Phone (251) 460-7189

Interoperability endpoints

  • Direct secure messaging: kathy.hintz.1@27270.direct.athenahealth.com
  • Direct secure messaging: kathy.hintz.p1@direct.accordiahealth.nextgenshare.com

Organizations & group practices 3

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1114978004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750A SOUTHLAND DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366933316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13833 TAPIA AVE",
            "city": "BAYOU LA BATRE",
            "state": "AL",
            "postal_code": "365092515",
            "telephone_number": "251-824-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINTZ",
        "first_name": "KATHY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114978004",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayou la Batre, AL

Sources for this page

Verify at the official NPI Registry.