Active NPI
Kaitlyn Elizabeth Seybold, FNP
- Family Nurse Practitioner
- Madison, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3-002561
- Practice address
- 600 Sun Temple Dr
Madison, AL 35758-8643 - Phone
- (256) 701-5651
- Fax
- (256) 429-9411
- NPI assigned
- Aug 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3-002561 | AL | Primary |
Addresses
Primary practice location
600 Sun Temple Dr
Madison, AL 35758-8643
Mailing address
600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 288-3333
Other names 1
- Kasitlyn E Walters
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Russellville Hospital Inc.
Practice addresses (Care Compare)
1321 Cedar LN
Tullahoma, TN 37388-2227
Phone (931) 222-4207
15225 Hwy 43
Russellville, AL 35653-1969
Phone (256) 331-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Behavioral Health, Inc. | Family | Current | Accepting new patients |
| Russellville Hospital Inc | Current | Accepting new patients | |
| Russellville Hospital Inc | Current | Accepting new patients | |
| Russellville Hospital Inc | Past | Accepting new patients | |
| Iop Behavioral Health, LLC | Past | Accepting new patients |
Locations
4984 Overton Rd
Birmingham, AL 35210
Phone (205) 768-5558
600 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627
15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700
25850 Main St
Ardmore, TN 38449
Phone (931) 427-4050
870 Oak Meadow Dr
Franklin, TN 37064
Phone (615) 721-5452
322 Kennedy St
Lawrenceburg, TN 38464
Phone (931) 766-4097
469 Weakley Creek Rd
Lawrenceburg, TN 38464
Phone (931) 766-0660
101 Ivy Ln
Pulaski, TN 38478
Phone (931) 363-3633
Interoperability endpoints
- https://fhir.yourcareuniverse.net/tenant/15210b52-659d-4e08-a38d-3a74b25af386
Organizations & group practices 6
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.
-
- Physical Medicine & Rehabilitation Physician
- Morton Grove, IL
- NPI 1841888591
TN
-
- Family Medicine Physician
- Russellville, AL
- NPI 1780232314
-
- Rural Health Clinic/Center
- Russellville, AL
- NPI 1508491093
-
- Adult Mental Health Clinic/Center
- Madison, AL
- NPI 1164202420
-
- Rural Health Clinic/Center
- Russellville, AL
- NPI 1033671631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1497538011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 SUN TEMPLE DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357588643",
"telephone_number": "256-288-3333",
"fax_number": "256-288-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 SUN TEMPLE DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357588643",
"telephone_number": "256-701-5651",
"fax_number": "256-429-9411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEYBOLD",
"first_name": "KAITLYN",
"middle_name": "ELIZABETH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-16",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "3-002561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KASITLYN",
"last_name": "WALTERS",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.