Katie D Reppucci, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-113640 Issued in AL

Practice address

201 Governors Dr SW Ste 400
Huntsville, AL 35801-5183

Phone

(256) 265-7246

Fax

(265) 265-7017

NPI assigned

Mar 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Dickinson Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Emergency Physicians Group

  • Emergency Medicine Physician
  • Huntsville, AL
  • NPI 1659366649
  Medicare reassignment NPD
• Tennessee Valley Pain Consultants, PC

  • Pain Medicine (Anesthesiology) Physician
  • Huntsville, AL
  • NPI 1730548264
  Medicare reassignment NPD
• Tennessee Valley Pain Consultants

  • Anesthesiology Physician
  • Huntsville, AL
  • NPI 1710928510
  NPD

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1275874646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460116",
            "telephone_number": "256-533-7064",
            "fax_number": "256-704-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GOVERNORS DR SW STE 400",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015183",
            "telephone_number": "256-265-7246",
            "fax_number": "265-265-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPPUCCI",
        "first_name": "KATIE",
        "middle_name": "D",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2023-07-12",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-113640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "DICKINSON",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Rendon, MS MH COUNSELING
• Rene' a. Talbot, DDS, P.C.
• Jennifer Renfro, CRNP
• Lauren Grace Renfroe, M.S., CCC/SLP
• Tiffany Rentz, CRNP
• Reproductive Surgery Center of Huntsville
• Resilience Counseling, LLC
• Resilience Health Center, LLC
• Restorative Health Wellness Center
• Restore Therapy Services, LTD

• Family Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.