Active NPI
Jaime Bres Cannon, CRNP
- Acute Care Nurse Practitioner
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1-114061
- 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, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| STV Pulmonary Group LLC | Current | Accepting new patients | |
| Birmingham Pulmonary Group,P.C. | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Pulmonary Disease Physician
- Birmingham, AL
- NPI 1548797566
-
- Specialist
- Birmingham, AL
- NPI 1578504338
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St. Vincent's Birmingham
- General Acute Care Hospital
- Birmingham, AL
- NPI 1841298999
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.