Individual provider Active NPI

Katelyn Patterson Pike, APRN

  • Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1396410866
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-144806 Issued in AL
Practice address
2032 Chestnut Street
Montgomery, AL 36106-2501
Phone
(334) 269-0212
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 1-144806 AL Primary

Addresses

Primary practice location

2032 Chestnut Street
Montgomery, AL 36106-2501

Mailing address

2032 Chestnut Street
Montgomery, AL 36106-2501
Phone (334) 269-0212

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
I20220413001967 AL Practitioner - Nurse Practitioner 9739575093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Kidney Specialists LLPGroup PAC ID 0345220224, 10 clinicians

Practice addresses (Care Compare)

1815 Glynwood Dr
Prattville, AL 36066-5584
Phone (334) 595-6335

2034 Chestnut St
Montgomery, AL 36106-1111
Phone (334) 269-0212

350 Paul Stabler Dr
Greenville, AL 36037-3128
Phone (334) 383-0006

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-144806ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Kidney Specialists, LLP Single Specialty CurrentSince Jan 8, 2022 Accepting new patients

Locations

2034 Chestnut St
Montgomery, AL 36106
Phone (205) 269-0212

Interoperability endpoints

  • Direct secure messaging: kpike25401@direct.davitaphysiciansolutions.com

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.

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1396410866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 CHESTNUT STREET",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062501",
            "telephone_number": "334-269-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 CHESTNUT STREET",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062501",
            "telephone_number": "334-269-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "KATELYN",
        "middle_name": "PATTERSON",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2024-03-04",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-144806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.