KATELYN CAMPISI (NPI# 1386184612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386184612 |
| Entity Type | Individual |
| Full Name | KATELYN CAMPISI |
| Credential | CRNP |
| Practice Address |
2834 Moody Pkwy Moody AL 35004 |
| Mailing Address |
Po Box 12366 Birmingham AL 35202-2366 |
| Practice Telephone | 2056402808 |
| Practice Fax Number | 2056402810 |
| Mailing Telephone | 2057807101 |
| Mailing Fax Number | 2052068338 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-139847 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2834 MOODY PKWY |
| City | MOODY |
| State | AL |
| Zip Code | 35004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245244391 | Thomas Randolph Perkins Jr. | Family Medicine | 2834 Moody Pkwy, Moody, AL 35004-3101 | 2006-07-27 |
| 1124505326 | Janet Alecia Cruzado | Nurse Practitioner | 2834 Moody Pkwy, Moody, AL 35004-3101 | 2018-07-20 |
| 1063601094 | Parkway Family Practice | Family Medicine | 2834 Moody Pkwy, Moody, AL 35004-3101 | 2007-10-16 |
| 1376651992 | Lea C Clayton | Family Medicine | 2834 Moody Pkwy, Moody, AL 35004 | 2006-08-25 |
| 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 |
| 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 |
| 1043205776 | Lisa R Newman | Nurse Practitioner | 2701 Moody Parkway, Moody, AL 35004 | 2005-09-19 |
| 1417315938 | Sarah Lanier | Nurse Practitioner | 2455 Moody Pkwy, 486, Moody, AL 35004-1653 | 2016-01-29 |
| 1164735718 | Kristy Sheffield Elders | Pharmacist | 6019 Kelly Creek Cir, Moody, AL 35004-2152 | 2010-07-23 |
| Find all providers in zip 35004 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364269 | Elizabeth Ogletree | Nurse Practitioner | 2211 Moody Pkwy, Moody, AL 35004-3014 | 2020-07-28 |
| 1144844549 | Jennifer L Richards | Nurse Practitioner | 2211 Moody Pkwy, Moody, AL 35004-3014 | 2020-06-01 |
| 1982242707 | Emily Depew | Nurse Practitioner | 2211 Moody Pkwy, Moody, AL 35004-3014 | 2019-12-11 |
| 1447809173 | Anne Tolene | Nurse Practitioner | 2211 Moody Pkwy, Moody, AL 35004-3014 | 2019-09-05 |
| 1003305780 | Rebecca Jenkins Jones | Nurse Practitioner | 2211 Moody Pkwy, Moody, AL 35004-3014 | 2018-05-08 |
| 1245735018 | Kristin Boddu | Nurse Practitioner | 2211 Moody Pkwy, Moody, AL 35004-3014 | 2018-03-26 |
| 1295136901 | Ashley Little | Nurse Practitioner | 2846 Moody Pkwy, Suite 300, Moody, AL 35004-3328 | 2014-09-12 |
| 1043205776 | Lisa R Newman | Nurse Practitioner | 2701 Moody Parkway, Moody, AL 35004 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1851991954 | Terry Brock | Nurse Practitioner | 4232 Cahaba Dr, Vestavia, AL 35243-1600 | 2020-10-28 |
| 1568062784 | Stephanie Terese Godwin | Nurse Practitioner | 391 Ashcraft Ln, Atmore, AL 36502-4225 | 2020-10-27 |
| 1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1023616661 | Yaira Maldonado | Nurse Practitioner | 191 Lee Road 207, Phenix City, AL 36870-8240 | 2020-10-15 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
| 1104423235 | Rita Wiggins Branch | Nurse Practitioner | 12350 Flint Dr, Moundville, AL 35474-6246 | 2020-10-01 |
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
| 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.