Individual provider Active NPI

Kathryn S Coletta, CRNP

  • Acute Care Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1821642372
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-138860 Issued in AL
Practice address
100 Memorial Hospital Dr Ste 2a
Mobile, AL 36608-1199
Phone
(251) 343-9090
Fax
(251) 380-1015
NPI assigned
Aug 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-138860 AL Primary

Addresses

Primary practice location

100 Memorial Hospital Dr Ste 2a
Mobile, AL 36608-1199

Mailing address

3719 Dauphin St Ste 100
Mobile, AL 36608-1769
Phone (251) 410-1188

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL uospc.com

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
I20191204002985 AL Practitioner - Nurse Practitioner 5890128862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Associates of Mobile, P.a.Group PAC ID 3870497951, 60 clinicians

Practice addresses (Care Compare)

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone (251) 433-1895

Hospital & facility affiliations

  • Springhill Medical Center Hospital, Mobile, AL, CCN 010144
  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090
  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040

Merit-based Incentive Payment System (MIPS)

Final score
86.88 of 100Reported as group
Quality
77.29
Promoting interoperability
100
Improvement activities
40
Cost
78.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of Mobile, P.a. CurrentSince Jan 27, 2023 Accepting new patients
Fairhope Urology, PC PastSince Aug 1, 2017 Accepting new patients

Locations

134 Hoyle Ave
Fairhope, AL 36532

8720 Fairhope Ave
Fairhope, AL 36532
Phone (251) 990-2241

1506 N McKenzie St
Ste 107
Foley, AL 36535
Phone (251) 923-0550

297 S Jackson St
#B
Grove Hill, AL 36451
Phone (251) 275-2810

100 Memorial Hospital Dr
Ste 2A
Mobile, AL 36608
Phone (251) 344-2762

168 Mobile Infirmary Blvd
Mobile, AL 36607
Phone (251) 633-3617

3719 Dauphin St
Ste 100
Mobile, AL 36608
Phone (251) 414-5665

100 Memorial Hospital Dr
Ste 1A
Mobile, AL 36608
Phone (251) 343-6848

Interoperability endpoints

  • Direct secure messaging: kathryncoletta@uam.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1821642372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 DAUPHIN ST STE 100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081769",
            "telephone_number": "251-410-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEMORIAL HOSPITAL DR STE 2A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081199",
            "telephone_number": "251-343-9090",
            "fax_number": "251-380-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLETTA",
        "first_name": "KATHRYN",
        "middle_name": "S",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-138860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "uospc.com",
            "affiliation": "Y",
            "address_1": "101 Memorial Hospital Dr Ste 100",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366081787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.