Active NPI
Jennifer Michelle Durham, CRNP
- Acute Care Nurse Practitioner
- Huntsville, AL
National Provider Identifier
1104156264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1-076553
- Practice address
- 201 Governors Dr SW
Suite 400
Huntsville, AL 35801-5170 - Phone
- (256) 265-7908
- Fax
- (256) 265-7255
- NPI assigned
- Jan 12, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Management Registered Nurse | 163WP0000X | 1-076553 | AL | |
| Acute Care Nurse Practitioner | 363LA2100X | 1-076553 | AL | Primary |
Addresses
Primary practice location
201 Governors Dr SW
Suite 400
Huntsville, AL 35801-5170
Mailing address
PO Box 11407
Birmingham, AL 35246-0116
Phone (256) 265-7908
Other names 1
- Jennifer Michelle Wright
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-076553 | AL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Valley Pain Consultants, PC | Past | Accepting new patients | |
| HH Tennessee Valley Pain Center | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pain Medicine Physician
- Huntsville, AL
- NPI 1639709710
-
- Pain Medicine (Anesthesiology) Physician
- Huntsville, AL
- NPI 1730548264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1104156264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11407",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352460116",
"telephone_number": "256-265-7908",
"fax_number": "256-265-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 GOVERNORS DR SW",
"address_2": "SUITE 400",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015170",
"telephone_number": "256-265-7908",
"fax_number": "256-265-7255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURHAM",
"first_name": "JENNIFER",
"middle_name": "MICHELLE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-12",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "AL",
"license": "1-076553",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AL",
"license": "1-076553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "WRIGHT",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.