Active NPI
Kasey Leigh Emmons, CRNP
- Registered Nurse
- Wetumpka, AL
National Provider Identifier
1326555459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1-107949
- Practice address
- 815 Jackson Trace Rd
Wetumpka, AL 36092 - Phone
- (334) 567-2882
- Fax
- (334) 567-3361
- NPI assigned
- Jan 10, 2018
- Last updated
- Jan 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-107949 | AL | Primary |
Addresses
Primary practice location
815 Jackson Trace Rd
Wetumpka, AL 36092
Mailing address
815 Jackson Trace Rd
Wetumpka, AL 36092-1504
Phone (334) 567-2882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-107949 | AL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivycreek of Elmore LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba River Region Family Medicine
- Rural Health Clinic/Center
- Wetumpka, AL
- NPI 1396066650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1326555459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 JACKSON TRACE RD",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360921504",
"telephone_number": "334-567-2882",
"fax_number": "334-567-3361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 JACKSON TRACE RD",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "36092",
"telephone_number": "334-567-2882",
"fax_number": "334-567-3361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMMONS",
"first_name": "KASEY",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-10",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-107949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wetumpka, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.