Kayla Landefeld Tennyson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-153341 Issued in AL

Practice address

22266 Highway 25
Columbiana, AL 35051-8618

Phone

(205) 669-3138

NPI assigned

Jan 18, 2022

Last updated

Apr 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: kayla.tennyson.1@19717.direct.athenahealth.com

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1851042196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1898 HIGHWAY 7",
            "city": "WILSONVILLE",
            "state": "AL",
            "postal_code": "351866710",
            "telephone_number": "205-382-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22266 HIGHWAY 25",
            "city": "COLUMBIANA",
            "state": "AL",
            "postal_code": "350518618",
            "telephone_number": "205-669-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNYSON",
        "first_name": "KAYLA",
        "middle_name": "LANDEFELD",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-153341",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-153341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Family Health
• Southern Family Health
• Stancil Handley O.D. PC
• State of Alabama
• David A Stull, DC
• Robert Lee Thornburg, DMD
• Don Max Thrower, C.R.N.P.
• Jaselyn Harrison Tidmore, OTR/L
• Jamie M Tillman, PHARMD
• Lyauro Alicia Venegas Johnson

• Family Nurse Practitioner in Columbiana, AL
• Providers in Columbiana, 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 Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.