Individual provider Active NPI

Kelly Denise Howard, CRNP

  • Women's Health Nurse Practitioner
  • Florence, AL
National Provider Identifier
1427208644
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1-099420 Issued in AL
Practice address
2530 Florence Blvd Ste E
Florence, AL 35630-2807
Phone
(256) 448-9500
Fax
(256) 448-9999
NPI assigned
Sep 24, 2008
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1-099420 AL Primary

Addresses

Primary practice location

2530 Florence Blvd Ste E
Florence, AL 35630-2807

Mailing address

2530 Florence Blvd Ste E
Florence, AL 35630-2807
Phone (256) 448-9500

Other identifiers 2

IdentifierTypeStateIssuer
183248MedicaidAL
Q027813MedicaidTN

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
I20151103002551 AL Practitioner - Nurse Practitioner 5294957031 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2530 Florence Blvd
Suite E
Florence, AL 35630-2807
Phone (256) 448-9500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-099420ALMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shoals Obstetrics and Gynecology LLC CurrentSince Aug 20, 2018 Accepting new patients
Shoals Womens Health & Wellness, LLC Women's Health CurrentSince Feb 2, 2023 Accepting new patients
Ecm Health Group LLC CurrentSince Sep 1, 2015 Accepting new patients
RCHP - Florence LLC PastSince Aug 20, 2018 Accepting new patients

Locations

1751 Veterans Dr
Ste 205
Florence, AL 35630
Phone (256) 766-2600

1751 Veterans Dr
Ste 205A
Florence, AL 35630
Phone (256) 766-2600

2530 Florence Blvd
Ste E
Florence, AL 35630
Phone (256) 448-9500

541 W College St
Ste 2600
Florence, AL 35630
Phone (256) 766-1600

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: kelly.howard.1@32732.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1427208644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 FLORENCE BLVD STE E",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302807",
            "telephone_number": "256-448-9500",
            "fax_number": "256-448-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 FLORENCE BLVD STE E",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302807",
            "telephone_number": "256-448-9500",
            "fax_number": "256-448-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "KELLY",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-099420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183248",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q027813",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.