Individual provider Active NPI

Heather Madison Nunnelley, NP

  • Family Nurse Practitioner
  • Jasper, AL
National Provider Identifier
1073071650
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-149990 Issued in AL
Practice address
1501 Viking Dr
Jasper, AL 35501-4942
Phone
(205) 686-5113
NPI assigned
Mar 4, 2019
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-149990 AL Primary
Registered Nurse 163W00000X 1-149990 AL

Addresses

Primary practice location

1501 Viking Dr
Jasper, AL 35501-4942

Mailing address

PO Box 169
Parrish, AL 35580-0169
Phone (205) 686-5113

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
I20210225001491 AL Practitioner - Nurse Practitioner 8628483609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capstone HealthGroup PAC ID 7719990316, 13 clinicians

Practice addresses (Care Compare)

1400 19TH St W
Jasper, AL 35501-5171
Phone (205) 878-6077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Health CurrentSince Nov 1, 2020 Accepting new patients
Capstone Health Single Specialty CurrentSince Apr 13, 2025 Accepting new patients
Capstone Health Single Specialty Current Accepting new patients
Capstone Health Single Specialty CurrentSince Nov 1, 2020 Accepting new patients

Locations

1351 Summitt
Jasper, AL 35501
Phone (205) 295-2277

1400 19th St W
Jasper, AL 35501
Phone (205) 878-6077

1501 Viking Dr
Jasper, AL 35501
Phone (205) 724-9028

5947 Highway 269
Parrish, AL 35580
Phone 20568651337204

Interoperability endpoints

  • Direct secure messaging: heather.nunnelley.1@16425.direct.athenahealth.com

Organizations & group practices 4

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": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1073071650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 169",
            "city": "PARRISH",
            "state": "AL",
            "postal_code": "355800169",
            "telephone_number": "205-686-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 VIKING DR",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014942",
            "telephone_number": "205-686-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNNELLEY",
        "first_name": "HEATHER",
        "middle_name": "MADISON",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-149990",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-149990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.