Individual provider Active NPI

Jaime Bres Cannon, CRNP

  • Acute Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1073894168
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-114061 Issued in AL
Practice address
2660 10TH Ave S Ste 528
Birmingham, AL 35205-1625
Phone
(205) 933-9258
Fax
(205) 933-6504
NPI assigned
Sep 1, 2011
Last updated
Aug 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-114061 AL Primary

Addresses

Primary practice location

2660 10TH Ave S Ste 528
Birmingham, AL 35205-1625

Mailing address

2660 10TH Avenue S
Suite 528
Birmingham, AL 35205
Phone (205) 933-9258

Other names 1

  • Miss Jaime Lynne Bres Former name

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
I20120105000706 AL Practitioner - Nurse Practitioner 5193991537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
STV Pulmonary Group LLCGroup PAC ID 1355616400, 26 clinicians

Practice addresses (Care Compare)

2660 10TH Ave S
Suite 528
Birmingham, AL 35205-1625
Phone (205) 933-9258

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.27 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
80.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
STV Pulmonary Group LLC CurrentSince Nov 11, 2017 Accepting new patients
Birmingham Pulmonary Group,P.C. CurrentSince Nov 11, 2017 Accepting new patients

Locations

2660 10th Ave S
Ste 528
Birmingham, AL 35205
Phone (205) 933-9258

800 Saint Vincents Dr
Ste 600
Birmingham, AL 35205
Phone (205) 271-1600

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jaime.cannon.p1@direct.birminghampulm.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1073894168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 10TH AVENUE S",
            "address_2": "SUITE 528",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35205",
            "telephone_number": "205-933-9258",
            "fax_number": "205-933-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 10TH AVE S STE 528",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051625",
            "telephone_number": "205-933-9258",
            "fax_number": "205-933-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "JAIME",
        "middle_name": "BRES",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-114061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "BRES",
            "middle_name": "LYNNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.