Individual provider Active NPI

Katherine Mae Youngblood, CRNP

  • Nurse Practitioner
  • Florence, AL
National Provider Identifier
1689524142
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-147213 Issued in AL
Practice address
422 E Dr Hicks Blvd Ste a
Florence, AL 35630-5730
Phone
(256) 766-1401
Fax
(256) 766-1402
NPI assigned
Feb 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-147213 AL Primary

Addresses

Primary practice location

422 E Dr Hicks Blvd Ste a
Florence, AL 35630-5730

Mailing address

422 E Dr Hicks Blvd Ste a
Florence, AL 35630-5730
Phone (256) 766-1401

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
I20260403002279 AL Practitioner - Nurse Practitioner 4880179175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N Rao Boorgu MD PCGroup PAC ID 5294757084, 6 clinicians

Practice addresses (Care Compare)

422 E Dr Hicks Blvd
Suite a
Florence, AL 35630-5730
Phone (256) 766-1401

Hospital & facility affiliations

  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006
  • Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-147213ALMDNurse Practitioner

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1769990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1689524142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 E DR HICKS BLVD STE A",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305730",
            "telephone_number": "256-766-1401",
            "fax_number": "256-766-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 E DR HICKS BLVD STE A",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305730",
            "telephone_number": "256-766-1401",
            "fax_number": "256-766-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "KATHERINE",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-147213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.