Individual provider Active NPI

Kelly Cauthen

  • Family Nurse Practitioner
  • Florence, AL
National Provider Identifier
1619428323
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-129453 Issued in AL
Practice address
112 S Pine St
Florence, AL 35630-5509
Phone
(256) 764-0492
NPI assigned
Oct 18, 2016
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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 1-129453 AL Primary

Addresses

Primary practice location

112 S Pine St
Florence, AL 35630-5509

Mailing address

PO Box 2409
Huntsville, AL 35804-2409
Phone (256) 715-4239

Other practice location 1

3007 Memorial Pkwy SW Ste C
Huntsville, AL 35801-5394
Phone (256) 429-4500

Other practice location 2

201 E McKinney Ave Ste A
Albertville, AL 35950-1876
Phone (256) 660-5127

Other practice location 3

415 Church St NW Ste 10
Huntsville, AL 35801-5573
Phone (256) 536-4700 ext. 9023

Other practice location 4

3500 Memorial Pkwy SW
Huntsville, AL 35801-5318
Phone (256) 536-4700

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
I20161208001137 AL Practitioner - Nurse Practitioner 3274813241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

112 S Pine St
Suite 202
Florence, AL 35630-5509
Phone (256) 764-0492

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Action Coalition of Huntsville CurrentSince Jan 1, 2022 Accepting new patients
AIDS Action Coalition of Huntsville CurrentSince Jan 1, 2022 Accepting new patients

Locations

201 E McKinney Ave
Ste A
Albertville, AL 35950
Phone (256) 660-5127

112 S Pine St
Florence, AL 35630
Phone (256) 764-0492

112 S Pine St
Ste 202
Florence, AL 35630
Phone (256) 764-0492

3007 Memorial Pkwy SW
Ste C
Huntsville, AL 35801
Phone (256) 382-3344

3500 Memorial Pkwy SW
Huntsville, AL 35801
Phone (256) 213-1800

415 Church St NW
Ste 10
Huntsville, AL 35801
Phone 2565364700 ext. 9023

600 Saint Clair Ave SW
Ste 14
Huntsville, AL 35801
Phone (256) 533-3314

806 Governors Dr SW
Ste 206
Huntsville, AL 35801

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1619428323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2409",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358042409",
            "telephone_number": "256-715-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S PINE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305509",
            "telephone_number": "256-764-0492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3007 Memorial Pkwy SW Ste C",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358015394",
            "country_code": "US",
            "telephone_number": "256-429-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E McKinney Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Albertville",
            "state": "AL",
            "postal_code": "359501876",
            "country_code": "US",
            "telephone_number": "256-660-5127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Church St NW Ste 10",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358015573",
            "country_code": "US",
            "telephone_number": "256-536-4700 x9023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Memorial Pkwy SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358015318",
            "country_code": "US",
            "telephone_number": "256-536-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAUTHEN",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-129453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.