Kelly Lisenbe Paparella, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-118279 Issued in AL

Practice address

218 Main Street
Fulton, AL 36446-0065

Phone

(334) 636-4823

Fax

(334) 636-1702

NPI assigned

Jun 16, 2014

Last updated

Mar 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1700290079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 MARIA AVE",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367324024",
            "telephone_number": "334-341-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 MAIN STREET",
            "city": "FULTON",
            "state": "AL",
            "postal_code": "364460065",
            "telephone_number": "334-636-4823",
            "fax_number": "334-636-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPARELLA",
        "first_name": "KELLY",
        "middle_name": "LISENBE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-118279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Franklin Garris, FNP-C
• Grove Hill Memorial Hospital,Inc (Fulton Healthcare clinic)
• Huey R Kidd DO PC (Fulton Family Medical)
• Gloria Jean McClain, NP-C
• Physicians Care of Clarke
• Matthew Tyler, FNP-BC

• Nurse Practitioner in Fulton, AL
• Providers in Fulton, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.