Individual provider Active NPI

Jessica Duvall, CRNP

  • Family Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1033827522
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-157775 Issued in AL
Practice address
525 S 3Rd St Ste D
Gadsden, AL 35901-5306
Phone
(256) 438-5107
NPI assigned
Nov 14, 2022
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-157775 AL Primary

Addresses

Primary practice location

525 S 3Rd St Ste D
Gadsden, AL 35901-5306

Mailing address

811 Sunshine Ave
Oneonta, AL 35121-1941
Phone (205) 353-8020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230207001003 AL Practitioner - Nurse Practitioner 1052783792 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Wellness Center and Spa CurrentSince Jan 21, 2024 Accepting new patients
Alpha Hospitalist Services CurrentSince Jan 1, 2023 Accepting new patients
Care Team Hospitalists LLP PastSince Nov 20, 2022 Accepting new patients

Locations

410 Broad St
Gadsden, AL 35901
Phone (256) 438-5107

525 S 3rd St
Gadsden, AL 35901
Phone (256) 438-5107

525 S 3rd St
Ste D
Gadsden, AL 35901
Phone (256) 438-5107

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1033827522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SUNSHINE AVE",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351211941",
            "telephone_number": "205-353-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S 3RD ST STE D",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015306",
            "telephone_number": "256-438-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "JESSICA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-157775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.