Kathy Bydalek, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-058199 Issued in AL

Practice address

5870 Alumni Circle
Mobile, AL 36608

Phone

(251) 460-7151

Fax

(251) 414-8227

NPI assigned

Mar 14, 2006

Last updated

Feb 2, 2021By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Franklin Primary Health Center, Inc.

  dba H E Savage Memorial Ctr

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1104895952
  NPD (past)
• Anchor Medical Clinic PLLC

  • Emergency Medicine Physician
  • Pascagoula, MS
  • NPI 1619107778
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1730157934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 ALUMNI CIRCLE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-460-7151",
            "fax_number": "251-414-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 ALUMNI CIRCLE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-460-7151",
            "fax_number": "251-414-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYDALEK",
        "first_name": "KATHY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R817185",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-058199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119200",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald T Butts, MD
• Gary Tyler Butts, M.D.
• Kimberly Spencer Butts, DMD, MS
• Peter L Buzas, MD
• Mary Frances Buzhardt
• Natasha Bynum
• Carolyn W Byrd, M.S., CCC-SLP
• Charlotte Stephanie Byrd, CRNP
• James Nelson Byrd Jr., MD
• Jennifer L Byrd, CRNP

• Family Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.