Kelly Jeannette Stauter, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-071676 Issued in AL

Practice address

2451 Fillingim St
3Rd Floor
Mobile, AL 36617-2238

Phone

(251) 471-7944

Fax

(251) 471-7451

NPI assigned

Jun 24, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.stauter.2@9582.direct.athenahealth.com

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.

• University of South Alabama

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1992746838
  Medicare reassignment NPD
• University of South Alabama

  • Clinical Medical Laboratory
  • Mobile, AL
  • NPI 1497859052
  NPD
• University of South Alabama Mitchell Cancer Institute

  • Multi-Specialty Clinic/Center
  • Mobile, AL
  • NPI 1023210259
  NPD

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1801822374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40010",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400010",
            "telephone_number": "251-471-7944",
            "fax_number": "251-471-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST",
            "address_2": "3RD FLOOR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-471-7944",
            "fax_number": "251-471-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUTER",
        "first_name": "KELLY",
        "middle_name": "JEANNETTE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-071676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF AL",
            "identifier": "511-01530",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond Scott Statham, L.P.C
• Payton Lavelle Statkewicz, M.D.
• Robert A Stauffer, M.D.
• Jamie Stauter
• Jeffrey Corbin Stauter
• Joy Lynn Steadman, M.D.
• Charletta Raquel Steele
• Christina Steele
• David Brooks Steele Jr., PHARM D.
• Chad Stefano, M.S., ATC, LAT

• 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 Jan 9, 2013; 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.