Individual provider Active NPI

Kaitlin Killian Hood, DRNP

  • Family Nurse Practitioner
  • Northport, AL
National Provider Identifier
1689376279
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-131698 Issued in AL
Practice address
3909 McFarland Blvd
Northport, AL 35476-2838
Phone
(205) 333-1993
Fax
(205) 333-9204
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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 1-131698 AL Primary

Addresses

Primary practice location

3909 McFarland Blvd
Northport, AL 35476-2838

Mailing address

3909 McFarland Blvd
Northport, AL 35476-2838
Phone (205) 333-1993

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
I20230502001347 AL Practitioner - Nurse Practitioner 7012372766 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medcenter Primary Care, LLC Family CurrentSince Mar 28, 2023 Accepting new patients
Medcenter Fayette, LLC Family CurrentSince Mar 28, 2023 Accepting new patients
Medcenter Demopolis, LLC CurrentSince Mar 28, 2023 Accepting new patients

Locations

705 US Highway 80 W
Demopolis, AL 36732
Phone (205) 333-1993

122 17th Ct NE
Fayette, AL 35555
Phone (205) 330-1707

3909 McFarland Blvd
Northport, AL 35476
Phone (205) 330-1707

4960 Rice Mine Rd NE
Ste 10
Tuscaloosa, AL 35406
Phone (205) 333-9467

5005 Oscar Baxter Dr
Tuscaloosa, AL 35405
Phone (205) 333-4654

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1689376279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 MCFARLAND BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354762838",
            "telephone_number": "205-333-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 MCFARLAND BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354762838",
            "telephone_number": "205-333-1993",
            "fax_number": "205-333-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD",
        "first_name": "KAITLIN",
        "middle_name": "KILLIAN",
        "credential": "DRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-131698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.