Active NPI
Jeffrey Andrew Withrow, ATC
- Community Health Worker
- Harvest, AL
National Provider Identifier
1033469416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 810
- Practice address
- 530 Jim McLemore Rd
Harvest, AL 35749-8542 - Phone
- (256) 503-7798
- NPI assigned
- Sep 13, 2012
- Last updated
- Sep 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 810 | AL | Primary |
Addresses
Primary practice location
530 Jim McLemore Rd
Harvest, AL 35749-8542
Mailing address
530 Jim McLemore Rd
Harvest, AL 35749-8542
Phone (256) 503-7798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 810 | AL | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1033469416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 JIM MCLEMORE RD",
"city": "HARVEST",
"state": "AL",
"postal_code": "357498542",
"telephone_number": "256-503-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 JIM MCLEMORE RD",
"city": "HARVEST",
"state": "AL",
"postal_code": "357498542",
"telephone_number": "256-503-7798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHROW",
"first_name": "JEFFREY",
"middle_name": "ANDREW",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-13",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "AL",
"license": "810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harvest, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.