Individual provider Active NPI

Katherine Kirigo Theuri

  • Psychiatric/Mental Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1902235831
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-108692 Issued in AL
Practice address
4000 Eagle Point Corporate Dr
Birmingham, AL 35242-6986
Phone
(205) 855-2240
Fax
(205) 855-2243
NPI assigned
Nov 1, 2013
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18094 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0107637 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-108692 AL Primary

Addresses

Primary practice location

4000 Eagle Point Corporate Dr
Birmingham, AL 35242-6986

Mailing address

1100 7TH Ave
Jasper, AL 35501-4377
Phone (205) 302-9000

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
I20210309002793 AL Practitioner - Nurse Practitioner 2466868831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Area Mental Health Authority, Inc.Group PAC ID 8527010917, 9 clinicians

Practice addresses (Care Compare)

2140 Upper Wetumpka Rd
Montgomery, AL 36107-1342
Phone (334) 279-7830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-108692ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Peace Wellness. Inc Psychiatric/Mental Health Current Accepting new patients
Montgomery Area Mental Health Authority Inc CurrentSince Jan 25, 2021 Accepting new patients

Locations

2140 Upper Wetumpka Rd
Montgomery, AL 36107
Phone (334) 262-0363

8721 US Highway 231
Wetumpka, AL 36092
Phone (334) 567-8408

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.

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1902235831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 7TH AVE",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014377",
            "telephone_number": "205-302-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EAGLE POINT CORPORATE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426986",
            "telephone_number": "205-855-2240",
            "fax_number": "205-855-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEURI",
        "first_name": "KATHERINE",
        "middle_name": "KIRIGO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "18094",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0107637",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-108692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.