Individual provider Active NPI

Katherine Kerby, CRNP

  • Family Medicine Physician
  • Scottsboro, AL
National Provider Identifier
1669061313
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-142511 Issued in AL
Practice address
507 Harley St
Scottsboro, AL 35768-4218
Phone
(256) 259-0061
NPI assigned
Jan 15, 2021
Last updated
Apr 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-142511 AL Primary

Addresses

Primary practice location

507 Harley St
Scottsboro, AL 35768-4218

Mailing address

507 Harley St
Scottsboro, AL 35768-4218
Phone (256) 259-0061

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
I20210308001004 AL Practitioner - Nurse Practitioner 9032525589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlands Professional ServicesGroup PAC ID 0648666198, 20 clinicians

Practice addresses (Care Compare)

23382 John T Reid Pkwy
Scottsboro, AL 35768-2835
Phone (256) 259-4810

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Family Medicine, LLC Single Specialty CurrentSince Jan 25, 2021 Accepting new patients
Highlands Hospitalists Services LLC Single Specialty CurrentSince Jan 4, 2022 Accepting new patients
Highlands Professional Services Single Specialty CurrentSince May 1, 2023 Accepting new patients
Scottsboro OB GYN Specialists LLC Single Specialty CurrentSince Oct 1, 2001 Accepting new patients

Locations

102 Micah Way
Ste 1107
Scottsboro, AL 35769
Phone (256) 259-4802

23382 John T Reid Pkwy
Scottsboro, AL 35768
Phone (256) 259-4810

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

408 Taylor St
Scottsboro, AL 35768
Phone (256) 259-5211

507 Harley St
Scottsboro, AL 35768
Phone (256) 259-0061

Interoperability endpoints

  • Direct secure messaging: katherine.kerby.2@29332.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 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": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1669061313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 HARLEY ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684218",
            "telephone_number": "256-259-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 HARLEY ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684218",
            "telephone_number": "256-259-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBY",
        "first_name": "KATHERINE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-142511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.