Individual provider Active NPI

Kaleigh Hornberger, CRNP

  • Family Nurse Practitioner
  • Daphne, AL
National Provider Identifier
1477170272
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-147562 Issued in AL
Practice address
1505 Daphne Ave
Daphne, AL 36526-4298
Phone
(251) 625-2663
NPI assigned
Jun 29, 2020
Last updated
Jun 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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 1-147562 AL Primary

Addresses

Primary practice location

1505 Daphne Ave
Daphne, AL 36526-4298

Mailing address

1505 Daphne Ave
Daphne, AL 36526-4298
Phone (251) 625-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200825003800 AL Practitioner - Nurse Practitioner 3072930825 Reassigns benefits to 1 organization
I20260623000426 DC Practitioner - Nurse Practitioner 3072930825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin Bone and Joint P CGroup PAC ID 0446213409, 32 clinicians

Practice addresses (Care Compare)

1505 Daphne Ave
Daphne, AL 36526-4298
Phone (251) 625-2663

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Bone & Joint P C CurrentSince Jun 25, 2020 Accepting new patients
Baldwin Bone & Joint P C PastSince Jun 25, 2020 Accepting new patients

Locations

1505 Daphne Ave
Daphne, AL 36526
Phone (251) 625-2663

1400 N McKenzie St
Foley, AL 36535
Phone (251) 424-1200

1430 N McKenzie St
Foley, AL 36535
Phone (251) 621-4700

10701 Eastern Shore Blvd
Spanish Fort, AL 36527
Phone (251) 625-2663

Interoperability endpoints

  • Direct secure messaging: khornberger@bbj1037.srs-direct.com

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1477170272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 DAPHNE AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264298",
            "telephone_number": "251-625-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 DAPHNE AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264298",
            "telephone_number": "251-625-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBERGER",
        "first_name": "KALEIGH",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-147562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.