Individual provider Active NPI

Jessica Behrens Kuykendall, RN, MSN, WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1811654437
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
1-150861 Issued in AL
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220001735 AL Practitioner - Nurse Practitioner 7810331642 Reassigns benefits to 1 organization

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
Decatur Women's HealthcareGroup PAC ID 3971828278, 10 clinicians

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

LicenseStateTypeSpecialty
1-150861ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Womens Healthcare CurrentSince Feb 1, 2024 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.