Individual provider Active NPI

Kala Willoughby, CRNP

  • Adult Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1255131934
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-171963 Issued in AL
Practice address
324 Commons Dr
Birmingham, AL 35209-6962
Phone
(205) 961-3550
NPI assigned
Mar 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-171963 AL
Adult Health Nurse Practitioner 363LA2200X 1-171963 AL Primary

Addresses

Primary practice location

324 Commons Dr
Birmingham, AL 35209-6962

Mailing address

12850 Leonard Robinson LN
Fairhope, AL 36532-6126
Phone (251) 504-6364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250325002559 AL Practitioner - Nurse Practitioner 2961925540 Reassigns benefits to 1 organization
I20260211003560 FL Practitioner - Nurse Practitioner 2961925540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
American Wound Care Al PLLCGroup PAC ID 9032554902, 7 clinicians

Practice addresses (Care Compare)

324 Commons Dr
Suite 37
Birmingham, AL 35209-6962
Phone (855) 479-4217

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Wound Care Al, PLLC CurrentSince Mar 13, 2025 Accepting new patients
Dr Jose a Rivera LLC CurrentSince Feb 5, 2026 Accepting new patients

Locations

324 Commons Dr
Birmingham, AL 35209
Phone (334) 442-9805

324 Commons Dr
Ste 37
Birmingham, AL 35209

445 Dexter Ave
Ste 4050
Montgomery, AL 36104
Phone (205) 854-1361

100 W Citrus St
Altamonte Springs, FL 32714
Phone (407) 720-4253

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": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1255131934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 LEONARD ROBINSON LN",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365326126",
            "telephone_number": "251-504-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 COMMONS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096962",
            "telephone_number": "205-961-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "KALA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-171963",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-171963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.