Healthcare Provider Details

I. General information

NPI: 1902235831
Provider Name (Legal Business Name): KATHERINE KIRIGO THEURI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2013
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 EAGLE POINT CORPORATE DR
BIRMINGHAM AL
35242-6986
US

IV. Provider business mailing address

1100 7TH AVE
JASPER AL
35501-4377
US

V. Phone/Fax

Practice location:
  • Phone: 205-855-2240
  • Fax: 205-855-2243
Mailing address:
  • Phone: 205-302-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number18094
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0107637
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1-108692
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: