Active NPI
Jessica McClanahan, CRNP
- Neonatal Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1083239966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- SP022875
- Practice address
- 3690 Grandview Pkwy
Birmingham, AL 35243-3326 - Phone
- (205) 971-1000
- NPI assigned
- Jun 16, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | SP022875 | PA | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 1-198456 | AL | |
| Neonatal Nurse Practitioner | 363LN0000X | SP022875 | PA | Primary |
Addresses
Primary practice location
3690 Grandview Pkwy
Birmingham, AL 35243-3326
Mailing address
23111 Downing Park Cir
MC Calla, AL 35111-3082
Other practice location 1
4800 Friendship Ave
Pittsburgh, PA 15224-1722
Phone (412) 578-5858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250808002564 | PA | Order and Referring Only - Nurse Practitioner | 1658784004 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP022875 | PA | MD | Neonatal Nurse Practitioner |
| 1-198456 | AL | MD | Critical Care Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1083239966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23111 DOWNING PARK CIR",
"city": "MC CALLA",
"state": "AL",
"postal_code": "351113082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3690 GRANDVIEW PKWY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352433326",
"telephone_number": "205-971-1000"
}
],
"practiceLocations": [
{
"address_1": "4800 Friendship Ave",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152241722",
"country_code": "US",
"telephone_number": "412-578-5858",
"fax_number": "412-578-1529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLANAHAN",
"first_name": "JESSICA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-16",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "PA",
"license": "SP022875",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "AL",
"license": "1-198456",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "PA",
"license": "SP022875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 28, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.