Individual provider Active NPI

Kelsey Haynes, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1366339194
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-139002 Issued in AL
Practice address
2038 Springdale LN
Birmingham, AL 35217-2028
Phone
(205) 841-7665
NPI assigned
Jun 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-139002 AL Primary

Addresses

Primary practice location

2038 Springdale LN
Birmingham, AL 35217-2028

Mailing address

551 Triple Creek Dr
Morris, AL 35116-1738
Phone (205) 370-5744

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
I20251021002301 AL Practitioner - Nurse Practitioner 2163910316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tarrant Medical PCGroup PAC ID 3375940489, 2 clinicians

Practice addresses (Care Compare)

2038 Springdale LN
Tarrant, AL 35217-2028
Phone (205) 841-7665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-139002ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norwood Clinic Inc CurrentSince Jun 29, 2025 Accepting new patients
Tarrant Medical PC CurrentSince Jul 14, 2025 Accepting new patients

Locations

2038 Springdale Ln
Tarrant, AL 35217
Phone (205) 841-7665

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25282/brand/1/csg/1/fhir/r4

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": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1366339194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 TRIPLE CREEK DR",
            "city": "MORRIS",
            "state": "AL",
            "postal_code": "351161738",
            "telephone_number": "205-370-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2038 SPRINGDALE LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352172028",
            "telephone_number": "205-841-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "KELSEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-139002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.