Individual provider Active NPI

Katelynn Falks, CRNP

  • Nurse Practitioner
  • Phenix City, AL
National Provider Identifier
1295575983
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-190699 Issued in AL
Practice address
7 Windsweep CT
Phenix City, AL 36870-2336
Phone
(334) 297-5555
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-190699 AL Primary

Addresses

Primary practice location

7 Windsweep CT
Phenix City, AL 36870-2336

Mailing address

2438 Churchill Cir
Auburn, AL 36832-5420
Phone (205) 919-7776

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
I20241231000946 AL Practitioner - Nurse Practitioner 9537696661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7 Windsweep Court
Phenix City, AL 36870

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Plus CurrentSince Nov 3, 2024 Accepting new patients

Locations

7 Windsweep Ct
Phenix City, AL 36870
Phone (334) 297-5555

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.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1295575983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 CHURCHILL CIR",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368325420",
            "telephone_number": "205-919-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WINDSWEEP CT",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368702336",
            "telephone_number": "334-297-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALKS",
        "first_name": "KATELYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-190699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

Verify at the official NPI Registry.