Active NPI
Jessica Behrens Kuykendall, RN, MSN, WHNP
- Obstetrics & Gynecology Nurse Practitioner
- Decatur, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 1-150861
- Practice address
- 1304 13TH Ave SE # Suieb
Decatur, AL 35601-4359 - Phone
- (256) 355-9216
- Fax
- (256) 351-6327
- NPI assigned
- Nov 18, 2021
- Last updated
- Feb 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 1-150861 | AL | Primary |
| Registered Nurse | 163W00000X | 1-150861 | AL | |
| Inpatient Obstetric Registered Nurse | 163WX0003X | 1-150861 | AL |
Addresses
Primary practice location
1304 13TH Ave SE # Suieb
Decatur, AL 35601-4359
Mailing address
121 Andover LN
Huntsville, AL 35811-8631
Phone (256) 224-4088
Other practice location 1
121 Andover Ln
Huntsville, AL 35811-8631
Phone (256) 224-4088
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1304 13TH Ave SE
Suite B
Decatur, AL 35601-4316
Phone (256) 355-9216
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-150861 | AL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Womens Healthcare | Current | Accepting new patients | |
| Decatur Morgan Neurology | Past | Accepting new patients |
Locations
1304 13th Ave SE
Ste B
Decatur, AL 35601
Phone (256) 355-9216
Organizations & group practices 2
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.
-
- Gynecology Physician
- Decatur, AL
- NPI 1023423605
-
- Neurology Physician
- Decatur, AL
- NPI 1144691908
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Decatur Morgan Hospital-Decatur Campus
- General Acute Care Hospital
- Decatur, AL
- NPI 1356692297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1811654437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 ANDOVER LN",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358118631",
"telephone_number": "256-224-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 13TH AVE SE # SUIEB",
"city": "DECATUR",
"state": "AL",
"postal_code": "356014359",
"telephone_number": "256-355-9216",
"fax_number": "256-351-6327"
}
],
"practiceLocations": [
{
"address_1": "121 Andover Ln",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358118631",
"country_code": "US",
"telephone_number": "256-224-4088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUYKENDALL",
"first_name": "JESSICA",
"middle_name": "BEHRENS",
"name_prefix": "Mrs.",
"credential": "RN, MSN, WHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-18",
"last_updated": "2024-02-14",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "AL",
"license": "1-150861",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-150861",
"primary": false
},
{
"code": "163WX0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Obstetric, Inpatient",
"state": "AL",
"license": "1-150861",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.