Kerri Lyn Outlaw, DNP, PMHNP-BC, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1-081294 Issued in AL

Practice address

1330 Highway 231 S
Troy, AL 36081-3058

Phone

(334) 670-5000

NPI assigned

Sep 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Troy Regional Physicians IncGroup PAC ID 1850587361, 17 clinicians

Dothan Behavioral Medicine Clinic PCGroup PAC ID 6305833724, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Troy Regional Physicians Inc

  • Specialist
  • Troy, AL
  • NPI 1003124421
  Medicare reassignment Care Compare group NPD
• Dothan Behavioral Medicine Clinic PC

  • Child & Adolescent Psychiatry Physician
  • Dothan, AL
  • NPI 1336277540
  Medicare reassignment Care Compare group
• East Central Mental Health Mental Retardation, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Troy, AL
  • NPI 1285717413
  Medicare reassignment NPD
• Troy Hospital Health Care Authority

  • Family Medicine Physician
  • Troy, AL
  • NPI 1275840779
  Medicare reassignment NPD
• Dothan Psychiatry & Sleep Disorders Medicine, PC

  • Psychiatry Physician
  • Dothan, AL
  • NPI 1518947019
  NPD
• Troy Regional Physicians Inc

  • Specialist
  • Troy, AL
  • NPI 1366750788
  NPD

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1740821958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LINDA LN",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360791201",
            "telephone_number": "334-482-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 HIGHWAY 231 S",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813058",
            "telephone_number": "334-670-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hospital Circle",
            "address_purpose": "LOCATION",
            "city": "Luverne",
            "state": "AL",
            "postal_code": "36065",
            "country_code": "US",
            "telephone_number": "334-335-3374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "AL",
            "postal_code": "360812044",
            "country_code": "US",
            "telephone_number": "334-566-3391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUTLAW",
        "first_name": "KERRI",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-081294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Troy",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1330 Highway 231 S",
            "city": "Troy",
            "state": "AL",
            "country_code": "US",
            "postal_code": "360813058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Troy",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Cherry St",
            "city": "Troy",
            "state": "AL",
            "country_code": "US",
            "postal_code": "360812003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Ogleclark, MS, LPC, CRC
• Abigail Oliver, NP
• Open Air MRI of Troy LLC
• Jason Southall Orrock, PH.D., LPC, NCC
• Ouicare LLC
• Brittany Nicole Owings, CRNP
• Samantha Palmer, DPT
• Shabrell Parker, M.S., LICSW, DSW
• Zariya Gabrianna Parks
• Corley Savanah Parrish, BEHAVIOR ANALYST

• Psychiatric/Mental Health Nurse Practitioner in Troy, AL
• Providers in Troy, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.