Individual provider Active NPI

Katie Giles, WHNP-BC

  • Women's Health Nurse Practitioner
  • Guntersville, AL
National Provider Identifier
1225577349
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
104406084 Issued in AL
Practice address
55 Rowe Dr Ste a
Guntersville, AL 35976
Phone
(256) 571-8470
Fax
(256) 571-8474
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 104406084 AL Primary

Addresses

Primary practice location

55 Rowe Dr Ste a
Guntersville, AL 35976

Mailing address

55 Rowe Dr Ste a
Guntersville, AL 35976-7366
Phone (256) 571-8470

Other practice location 1

2505 US Highway 431
Suite A
Boaz, AL 35957-5908
Phone (256) 840-4530 ext. 111

Other names 1

  • Katie Lashae Cooper Former name

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
I20171025001465 AL Practitioner - Nurse Practitioner 0042586760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall Medical Center SouthGroup PAC ID 1153483797, 8 clinicians

Practice addresses (Care Compare)

55 Rowe Dr
Suite a
Guntersville, AL 35976-7366
Phone (256) 571-8470

Hospital & facility affiliations

  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104406084ALMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center South CurrentSince Jan 1, 2019 Accepting new patients
Marshall Medical Center North Past Accepting new patients

Locations

2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061

2505 US Highway 431
Ste A
Boaz, AL 35957
Phone (256) 840-4530

2505 US Highway 431
Ste B
Boaz, AL 35957
Phone (256) 840-3396

2525 US Highway 431
Ste 200
Boaz, AL 35957
Phone (256) 593-2221

55 Rowe Dr
#A
Guntersville, AL 35976
Phone (256) 571-8470

8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/marshso-0747d29f
  • Direct secure messaging: katiegiles@mcobg.allscriptsdirect.net
  • FHIR API: https://fhir-usa.unify.chbase.com/org/marshso-ac1b915e

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1225577349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ROWE DR STE A",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767366",
            "telephone_number": "256-571-8470",
            "fax_number": "256-571-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ROWE DR STE A",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "35976",
            "telephone_number": "256-571-8470",
            "fax_number": "256-571-8474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 US Highway 431",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Boaz",
            "state": "AL",
            "postal_code": "359575908",
            "country_code": "US",
            "telephone_number": "256-840-4530 x111",
            "fax_number": "256-840-4537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILES",
        "first_name": "KATIE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "104406084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "COOPER",
            "middle_name": "LASHAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.