Individual provider Active NPI

Chelsea Katelyn Popp, DNP, CRNP, FNP-C

  • Family Nurse Practitioner
  • Anniston, AL
National Provider Identifier
1306338298
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-139281 Issued in AL
Practice address
301 E 18TH St
Anniston, AL 36207-3952
Phone
(256) 235-8900
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1-139281 AL
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 1-139281 AL
Family Nurse Practitioner 363LF0000X 1-139281 AL Primary

Addresses

Primary practice location

301 E 18TH St
Anniston, AL 36207-3952

Mailing address

1325 Quintard Ave
Anniston, AL 36201-4619
Phone (256) 741-1339

Other practice location 1

1419 Leighton Ave
Anniston, AL 36207-3800
Phone (256) 236-5334

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
I20180724003732 AL Practitioner - Nurse Practitioner 9931456761 Reassigns benefits to 5 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
Southern Immediate Care, LLCGroup PAC ID 6103114087, 46 clinicians

Practice addresses (Care Compare)

150 Tompkins St
Heflin, AL 36264-1836
Phone (256) 568-8818

4100 McClellan Blvd
Anniston, AL 36201-2132
Phone (256) 235-2273

956 Gilbert Ferry Rd SE
Attalla, AL 35954-3338
Phone (256) 344-0065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-139281ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gadsden HB Medical Services LLC Single Specialty CurrentSince Jul 18, 2024 Accepting new patients
App of Alabama Ed PLLC Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
Alabama Physicians Group LLC Single Specialty CurrentSince Aug 15, 2023 Accepting new patients
University of Alabama Health Services Foundation, PC. Single Specialty CurrentSince Jan 1, 2019 Accepting new patients
Southern Immediate Care, LLC Single Specialty CurrentSince Sep 12, 2024 Accepting new patients

Locations

301 E 18th St
Anniston, AL 36207
Phone (256) 235-8900

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1664 Forestdale Blvd
Forestdale, AL 35214
Phone (205) 409-2794

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1306338298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 QUINTARD AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362014619",
            "telephone_number": "256-741-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 18TH ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362073952",
            "telephone_number": "256-235-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1419 Leighton Ave",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362073800",
            "country_code": "US",
            "telephone_number": "256-236-5334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPP",
        "first_name": "CHELSEA",
        "middle_name": "KATELYN",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "1-139281",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-139281",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-139281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.