Individual provider Active NPI

Kaelie Salisbury, PA-C

  • Physician Assistant
  • Huntsville, AL
National Provider Identifier
1366012866
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
910 Adams St SE Ste 300
Huntsville, AL 35801-3757
Phone
(256) 533-7420
NPI assigned
Jun 28, 2021
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AL Primary

Addresses

Primary practice location

910 Adams St SE Ste 300
Huntsville, AL 35801-3757

Mailing address

910 Adams St SE Ste 300
Huntsville, AL 35801-3757
Phone (256) 533-7420

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
I20230324000240 AL Practitioner - Physician Assistant 5294109799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic for Women, P.a.Group PAC ID 7911895610, 11 clinicians

Practice addresses (Care Compare)

8337 Hwy 72 W
Suite 200
Madison, AL 35758-9548
Phone (256) 533-7420

910 Adams Sest
Suite 300
Huntsville, AL 35801-3757

910 Adams St
Suite 300
Huntsville, AL 35801-3757

910 Adams St SE
Suite 300
Huntsville, AL 35801-3757
Phone (256) 533-7420

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic for Women PA CurrentSince Sep 9, 2024 Accepting new patients
Trevecca Nazarene University PastSince Jul 1, 2021 Accepting new patients

Locations

910 Adams St SE
Ste 300
Huntsville, AL 35801
Phone (256) 533-7420

Organizations & group practices 3

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1366012866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ADAMS ST SE STE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013757",
            "telephone_number": "256-533-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ADAMS ST SE STE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013757",
            "telephone_number": "256-533-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALISBURY",
        "first_name": "KAELIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.