Individual provider Active NPI

Jennifer Cothron, NURSE PRACTITONER

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1083067037
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F0614912 Issued in AL
Practice address
3686 Grandview Parkway
Suite 500
Birmingham, AL 35243
Phone
(205) 802-2000
Fax
(205) 776-6155
NPI assigned
Jul 14, 2016
Last updated
Aug 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F0614912 AL Primary

Addresses

Primary practice location

3686 Grandview Parkway
Suite 500
Birmingham, AL 35243

Mailing address

3686 Grandview Pkwy
Suite 500
Birmingham, AL 35243-3407
Phone (205) 802-2000

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
I20160729001752 AL Practitioner - Nurse Practitioner 1850684739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Associates of the Southeast PCGroup PAC ID 4486630415, 10 clinicians

Practice addresses (Care Compare)

40 Inverness Ctr Pkwy
Suite 200
Hoover, AL 35242-4988
Phone (205) 802-2000

Merit-based Incentive Payment System (MIPS)

Final score
90.88 of 100Reported as group
Quality
83.3
Promoting interoperability
100
Improvement activities
40
Cost
76.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
F0614912ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates of the Southeast PC CurrentSince Jul 5, 2016 Accepting new patients

Locations

3686 Grandview Pkwy
Ste 500
Birmingham, AL 35243
Phone (205) 802-2000

40 Inverness Center Pkwy
Ste 200
Hoover, AL 35242
Phone (205) 802-2000

Interoperability endpoints

  • Direct secure messaging: jennifer.cothron.1@20095.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20095/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1083067037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY",
            "address_2": "SUITE 500",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433407",
            "telephone_number": "205-802-2000",
            "fax_number": "205-776-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PARKWAY",
            "address_2": "SUITE 500",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35243",
            "telephone_number": "205-802-2000",
            "fax_number": "205-776-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTHRON",
        "first_name": "JENNIFER",
        "credential": "NURSE PRACTITONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "F0614912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.