KALA BLAKELY (NPI# 1235428731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235428731 |
| Entity Type | Individual |
| Full Name | KALA BLAKELY |
| Credential | DNP, CRNP, NP-C |
| Practice Address |
2846 Moody Pkwy Suite 300 Moody AL 35004-3328 |
| Practice Telephone | 2056401756 |
| Practice Fax Number | 2056401796 |
| Mailing Telephone | 2056401756 |
| Mailing Fax Number | 2056401796 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2014-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1-124159 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2846 MOODY PKWY SUITE 300 |
| City | MOODY |
| State | AL |
| Zip Code | 35004-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285659821 | Wendy C Nelson | Physical Therapist | 2846 Moody Pkwy, Ste 200, Moody, AL 35004-3328 | 2006-07-13 |
| 1255705869 | Brandon Wayde Bunch | Physical Therapist | 2846 Moody Pkwy, Ste 200, Moody, AL 35004-3328 | 2015-11-19 |
| 1295136901 | Ashley Little | Nurse Practitioner | 2846 Moody Pkwy, Suite 300, Moody, AL 35004-3328 | 2014-09-12 |
| 1013318070 | Hometown Family Medicine, Inc. | Nurse Practitioner | 2846 Moody Pkwy, Moody, AL 35004-3328 | 2014-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757420 | Dpi of Alabama LLC | Pain Medicine | 3310 Kelly Creek Rd, Moody, AL 35004 | 2018-04-17 |
| 1215085212 | Joy D Donaldson | Pharmacist | 1005 Moody Crossroads Drive, Moody, AL 35004 | 2007-01-08 |
| 1780764639 | Robert Anthony Funk | Physical Therapist | 2846 Moody Pkwy Ste 200, Moody, AL 35004 | 2006-10-16 |
| 1366436156 | Complete Healthcare Center, Inc. | Family Medicine | 2701 Moody Parkway, Moody, AL 35004 | 2005-09-07 |
| 1316431448 | Rebecca Crenshaw Tindle | Pharmacist | 2200 Village Dr, Moody, AL 35004 | 2018-06-21 |
| 1386184612 | Katelyn Campisi | Nurse Practitioner | 2834 Moody Pkwy, Moody, AL 35004 | 2017-03-06 |
| 1033653563 | Anne Claire Craig | Physical Therapist | 2846 Moody Pkwy Ste 200, Moody, AL 35004 | 2016-12-19 |
| 1366840357 | Christopher Scott Baker | Physical Therapist | 2846 Moody Pkwy Ste 200, Moody, AL 35004 | 2014-12-08 |
| 1376651992 | Lea C Clayton | Family Medicine | 2834 Moody Pkwy, Moody, AL 35004 | 2006-08-25 |
| 1043205776 | Lisa R Newman | Nurse Practitioner | 2701 Moody Parkway, Moody, AL 35004 | 2005-09-19 |
| Find all providers in zip 35004 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315938 | Sarah Lanier | Nurse Practitioner | 2455 Moody Pkwy, 486, Moody, AL 35004-1653 | 2016-01-29 |
| 1053678706 | Karen Miranda Cardwell | Nurse Practitioner | 1011 Alden Glen Dr, Moody, AL 35004-3277 | 2012-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250249 | Marnita Monique Stallworth | Nurse Practitioner | 3937 Harmony Ridge Cir W, Semmes, AL 36575-5282 | 2020-09-16 |
| 1427676584 | Julie Danielle Laird | Nurse Practitioner | 453 Sandstone Dr, Dothan, AL 36303-7313 | 2020-07-06 |
| 1619591468 | Cartney Michelle Kesten | Nurse Practitioner | 14006 Percivale Dr Se, Huntsville, AL 35803-1868 | 2020-06-07 |
| 1235764069 | Bianca A Norris | Nurse Practitioner | 7000 Adventist Blvd Nursing Department, Huntsville, AL 35896-0001 | 2020-03-12 |
| 1881227197 | Lavern Snow | Nurse Practitioner | 1108 45th Street Ensley, Birmingham, AL 35208-1804 | 2020-02-14 |
| 1578193892 | Heather Dawn Battles | Nurse Practitioner | 9785 Us Highway 278 W, Altoona, AL 35952-7771 | 2020-01-26 |
| 1548806540 | Hailey Hammond | Nurse Practitioner | 3101 26th Ave, Northport, AL 35476-5236 | 2019-11-25 |
| 1619511367 | Sarah Ashley Freeman | Nurse Practitioner | 363 Riverside Dr, Gadsden, AL 35903-2945 | 2019-11-05 |
| 1386206688 | Tasha Latiya Jones | Nurse Practitioner | 4950 Government Blvd Apt 75, Mobile, AL 36693-5011 | 2019-07-08 |
| 1891250262 | Corrie Graveman | Nurse Practitioner | 7070 Taylors Ferry Rd, Bessemer, AL 35023-5565 | 2019-02-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.