Individual provider Active NPI

Katherine Feazell

  • Nurse Practitioner
  • Moody, AL
National Provider Identifier
1851940654
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-159680 Issued in AL
Practice address
2211 Moody Pkwy
Moody, AL 35004-3014
Phone
(205) 352-2480
NPI assigned
Sep 5, 2019
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-159680 AL Primary

Addresses

Primary practice location

2211 Moody Pkwy
Moody, AL 35004-3014

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866

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
I20191017002946 AL Practitioner - Nurse Practitioner 9335470632 Reassigns benefits to 2 organizations

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
Southern Immediate Care, LLCGroup PAC ID 6103114087, 46 clinicians

Practice addresses (Care Compare)

104 Chelsea Point Dr
Chelsea, AL 35043-4100
Phone (205) 409-2794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Immediate Care, LLC CurrentSince Mar 1, 2024 Accepting new patients
Rural Urgent Care LLC CurrentSince Aug 14, 2019 Accepting new patients
Keel and Associates CurrentSince Mar 1, 2024 Accepting new patients
Rural Urgent Care LLC CurrentSince Aug 14, 2019 Accepting new patients

Locations

324 E 19th St
#201
Anniston, AL 36207
Phone (205) 409-2794

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

104 Chelsea Point Dr
Chelsea, AL 35043
Phone (205) 453-7550

225 Helena Market Pl
Helena, AL 35080
Phone (205) 409-2794

2211 Moody Pkwy
Moody, AL 35004
Phone (205) 352-2480

2022 2nd Ave E
Oneonta, AL 35121
Phone (205) 545-5090

1575 Montgomery Hwy
Vestavia Hills, AL 35216
Phone (205) 330-1707

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1851940654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MOODY PKWY",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043014",
            "telephone_number": "205-352-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEAZELL",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-159680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moody, AL

Sources for this page

Verify at the official NPI Registry.