MS. KELLY JEANNETTE STAUTER CRNP NPI 1801822374

NPI Information

NPI: 1801822374
Provider Name: MS. KELLY JEANNETTE STAUTER, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2451 FILLINGIM ST
3RD FLOOR
MOBILE, AL
ZIP 36617
Phone: (251) 471-7944
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MS. Kelly Jeannette Stauter, CRNP is a family nurse practitioner in Mobile, AL. MS. Kelly Jeannette Stauter, CRNP NPI is 1801822374. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2451 FILLINGIM ST
3RD FLOOR
MOBILE, AL
ZIP 36617-238
Phone: (251) 471-7944
Fax: (251) 471-7451

The NPI 1801822374 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 1/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	1-071676	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	511-01530	OTHER	ALABAMA	BLUE CROSS OF AL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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