Individual provider Active NPI

Katrina L Roberson-Trammell, MD

  • Pediatrics Physician
  • Semmes, AL
National Provider Identifier
1972558328
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
19407 Issued in AL
Practice address
8010 Moffett Rd
Semmes, AL 36575-5406
Phone
(251) 645-8946
Fax
(251) 645-8976
NPI assigned
May 24, 2006
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 19407 AL Primary

Addresses

Primary practice location

8010 Moffett Rd
Semmes, AL 36575-5406

Mailing address

PO Box 36258
Belfast, ME 04915-1204
Phone (251) 318-2678

Other identifiers 7

IdentifierTypeStateIssuer
257537000MedicaidFL
51034793OtherALBLUE CROSS
00120269MedicaidMS
12-10138OtherALUNITED HEALTH CARE
1414336MedicaidLA
000034793MedicaidAL
009929255MedicaidAL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070622000153 AL Practitioner - Pediatric Medicine 9739288333 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19407ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama CurrentSince Jul 1, 2016 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
University of South Alabama Pediatrics CurrentSince Jul 1, 2016 Accepting new patients
USA Health Physician Billing Services LLC Pediatrics CurrentSince Oct 1, 2019 Accepting new patients
USA Health Community Providers LLC Pediatrics CurrentSince Nov 1, 2024 Accepting new patients
USA Health Physician Billing Services LLC Current Accepting new patients
USA Health - Mci Business Services LLC Current Accepting new patients
University of South Alabama Current Accepting new patients
University of South Alabama Mitchell Cancer Institute Past Accepting new patients

Locations

1601 Center St
Ste 1N
Mobile, AL 36604
Phone (251) 410-5437

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

8010 Moffett Rd
Semmes, AL 36575
Phone (251) 645-8946

Interoperability endpoints

  • Direct secure messaging: katrina.roberson-trammell.1@16253.direct.athenahealth.com

Organizations & group practices 9

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1972558328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36258",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151204",
            "telephone_number": "251-318-2678",
            "fax_number": "251-405-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 MOFFETT RD",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "365755406",
            "telephone_number": "251-645-8946",
            "fax_number": "251-645-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON-TRAMMELL",
        "first_name": "KATRINA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "19407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257537000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51034793",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120269",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "12-10138",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1414336",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000034793",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009929255",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Semmes, AL

Sources for this page

Verify at the official NPI Registry.