1174506166 NPI number — DR. KATHLEEN JO FELKER M.D.

Table of content: TAYLOR ANN HAYNES PA-C (NPI 1538033170)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174506166 NPI number — DR. KATHLEEN JO FELKER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FELKER
Provider First Name:
KATHLEEN
Provider Middle Name:
JO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174506166
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/10/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2006 FRANKLIN ST SE
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
HUNTSVILLE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35801-4551
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-539-0457
Provider Business Mailing Address Fax Number:
256-539-5827

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2006 FRANKLIN ST SE STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTSVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35801-4537
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-539-0457
Provider Business Practice Location Address Fax Number:
256-539-5827
Provider Enumeration Date:
11/22/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  55081 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 23124 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 009942882 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009982340 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 213436 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 239844 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 247288 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 890-43913 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 009911026 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009982330 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 245799 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 51067173 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51595719 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 245598 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 51507013 . This is a "BCBS OF AL" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51595726 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51595727 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 051551437 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 127005 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 135840 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 245578 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 246027 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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