Active NPI
Jean Anna Newsome, RN CRNP
- Pulmonary Disease Physician
- Birmingham, AL
National Provider Identifier
1083779839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 1059725
- Practice address
- 2018 Medical Center Dr
Professional Office BLDG Suite 115
Birmingham, AL 35209 - Phone
- (205) 802-1430
- Fax
- (205) 802-1343
- NPI assigned
- Dec 22, 2006
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 1059725 | AL | Primary |
Addresses
Primary practice location
2018 Medical Center Dr
Professional Office BLDG Suite 115
Birmingham, AL 35209
Mailing address
2018 Medical Center Dr
Professional Office BLDG Suite 115
Birmingham, AL 35209
Phone (205) 802-1430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1059725 | AL | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1083779839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2018 MEDICAL CENTER DR",
"address_2": "PROFESSIONAL OFFICE BLDG SUITE 115",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35209",
"telephone_number": "205-802-1430",
"fax_number": "205-802-1343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 MEDICAL CENTER DR",
"address_2": "PROFESSIONAL OFFICE BLDG SUITE 115",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35209",
"telephone_number": "205-802-1430",
"fax_number": "205-802-1343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWSOME",
"first_name": "JEAN",
"middle_name": "ANNA",
"name_prefix": "Ms.",
"credential": "RN CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AL",
"license": "1059725",
"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 Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.