Individual provider Active NPI

Katie Fortenberry Miller

  • Adult Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1265908313
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-140000 Issued in AL
Practice address
833 Princeton Ave SW Ste 200F
Birmingham, AL 35211-1321
Phone
(205) 786-2776
Fax
(205) 786-6227
NPI assigned
Oct 16, 2018
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-140000 AL Primary
Family Nurse Practitioner 363LF0000X 1-140000 AL

Addresses

Primary practice location

833 Princeton Ave SW Ste 200F
Birmingham, AL 35211-1321

Mailing address

3500 Blue Lake Dr Ste 495
Vestavia, AL 35243-1975
Phone (800) 257-6570

Other practice location 1

5295 Preserve Pkwy Ste 260
Hoover, AL 35244-4703
Phone (205) 785-3218

Other practice location 2

2018 Brookwood Medical Ctr Dr Ste 215
Birmingham, AL 35209-6870
Phone (205) 877-2627

Other practice location 3

833 Princeton Ave SW Bldg III
Birmingham, AL 35211-1323
Phone (205) 786-2776

Other names 1

  • Katie Lynn Fortenberry 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
I20200210002016 AL Practitioner - Nurse Practitioner 9133555253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

1130 22ND St S
Suite 1000
Birmingham, AL 35205-2881
Phone (205) 518-8849

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 783-7970

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aletheia House, Inc. Family CurrentSince Dec 3, 2019 Accepting new patients
Baptist Health Centers, LLC Current Accepting new patients
Baptist Health Centers LLC CurrentSince Jan 13, 2020 Accepting new patients
Baptist Health Centers LLC CurrentSince Jan 13, 2020 Accepting new patients

Locations

2201 Arlington Ave
Bessemer, AL 35020
Phone (205) 277-6878

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

833 Princeton Ave SW
Bldg Iii
Birmingham, AL 35211

833 Princeton Ave SW
Ste 200F
Birmingham, AL 35211
Phone (205) 776-8600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15655/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kmiller68309@baptisthealthaldirect.org

Organizations & group practices 4

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.

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": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1265908313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 BLUE LAKE DR STE 495",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352431975",
            "telephone_number": "800-257-6570",
            "fax_number": "205-599-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 PRINCETON AVE SW STE 200F",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111321",
            "telephone_number": "205-786-2776",
            "fax_number": "205-786-6227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5295 Preserve Pkwy Ste 260",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352444703",
            "country_code": "US",
            "telephone_number": "205-785-3218",
            "fax_number": "205-786-6227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2018 Brookwood Medical Ctr Dr Ste 215",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352096870",
            "country_code": "US",
            "telephone_number": "205-877-2627",
            "fax_number": "205-802-6590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Princeton Ave SW Bldg III",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111323",
            "country_code": "US",
            "telephone_number": "205-786-2776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATIE",
        "middle_name": "FORTENBERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-140000",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-140000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "FORTENBERRY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.