Kayla Marie Humphries, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-116495 Issued in AL

Practice address

221 Hospital Rd
Red Bay, AL 35582-3858

Phone

(256) 356-8907

Fax

(256) 356-8903

NPI assigned

Feb 24, 2014

Last updated

Jul 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Health and Wellness, LLCGroup PAC ID 0345675112, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Moulton, AL, CCN 017071
• Keller Home Care Home health agency, Red Bay, AL, CCN 017125
• Red Bay Hospital Hospital, Red Bay, AL, CCN 011302
• Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019
• Russellville Hospital Hospital, Russellville, AL, CCN 010158
• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

Merit-based Incentive Payment System (MIPS)

Final score

73.7 of 100Reported as individual

Quality

49.11

Improvement activities

40

Cost

80.19

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20641/brand/1/csg/1/fhir/r4

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.

• Bay Health & Wellness, LLC

  • Nurse Practitioner
  • Red Bay, AL
  • NPI 1760028864
  Medicare reassignment Care Compare group NPD Authorized official
• HH Health System - Shoals LLC

  dba Red Bay Hospital

  • Critical Access Hospital
  • Red Bay, AL
  • NPI 1073601043
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Health System - Shoals LLC

  dba Red Bay Hospital

  • Critical Access Hospital
  • Red Bay, AL
  • NPI 1073601043
  Care Compare affiliation
• HH Health System - Shoals LLC

  dba Helen Keller Hospital

  • General Acute Care Hospital
  • Sheffield, AL
  • NPI 1508952235
  Care Compare affiliation
• LHCG Xxix LLC

  dba Keller Home Care

  • Home Health Agency
  • Red Bay, AL
  • NPI 1366740656
  Care Compare affiliation
• Mid-South Home Health, LLC

  dba Centerwell Home Health

  • Home Health Agency
  • Moulton, AL
  • NPI 1376572081
  Care Compare affiliation
• Russellville Hospital Inc.

  dba Russellville Hospital

  • Rural Acute Care Hospital
  • Russellville, AL
  • NPI 1316015241
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  dba North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1487079711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2705",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358042705",
            "telephone_number": "256-265-4595",
            "fax_number": "256-265-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 HOSPITAL RD",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355823858",
            "telephone_number": "256-356-8907",
            "fax_number": "256-356-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-116495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Grace Fowler
• Generations of Red Bay, LLC
• Kaitlin Paige Gresham, CRNP
• Gum Creek Enterprises Inc (Comfacare Home Health Supply)
• HH Health System - Shoals LLC (Red Bay Hospital)
• Island Medical Red Bay LLC
• Keller Family Practice
• LHCG Xxix LLC (Keller Home Care)
• John Looney, MD
• Luxe Aesthetics & Wellness, LLC

• Nurse Practitioner in Red Bay, AL
• Providers in Red Bay, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.