Individual provider Active NPI

Kayla Leist Labrato, CRNP

  • Adult Health Nurse Practitioner
  • Fairhope, AL
National Provider Identifier
1689441271
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-125288 Issued in AL
Practice address
150 S Ingleside St Ste 6
Fairhope, AL 36532-1804
Phone
(251) 990-1740
NPI assigned
Dec 5, 2023
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-125288 AL Primary

Addresses

Primary practice location

150 S Ingleside St Ste 6
Fairhope, AL 36532-1804

Mailing address

7025 Saluda Blvd
Spanish Fort, AL 36527-9009
Phone (662) 574-5933

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
I20240220002498 AL Practitioner - Nurse Practitioner 9739523598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairhope Internal Medicine PCGroup PAC ID 6305884651, 9 clinicians

Practice addresses (Care Compare)

6 Medical Park
Fairhope, AL 36532-1804
Phone (251) 990-1740

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-125288ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairhope Internal Medicine PC CurrentSince Jan 3, 2024 Accepting new patients
Medical Park OBGYN PC CurrentSince Dec 10, 2023 Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients

Locations

150 S Ingleside St
#6
Fairhope, AL 36532
Phone (251) 928-1222

6 Medical Park
Fairhope, AL 36532
Phone (251) 990-1740

6 Medical Park Dr
Fairhope, AL 36532
Phone (251) 272-1192

Interoperability endpoints

  • Direct secure messaging: klabrato189597@directinfirmaryhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1689441271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 SALUDA BLVD",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365279009",
            "telephone_number": "662-574-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S INGLESIDE ST STE 6",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321804",
            "telephone_number": "251-990-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRATO",
        "first_name": "KAYLA",
        "middle_name": "LEIST",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-125288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.