Active NPI
Jennifer Gafnea, CRNP
- Family Nurse Practitioner
- Alabaster, AL
National Provider Identifier
1104226851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-119628
- Practice address
- 300 1St St N Ste C
Alabaster, AL 35007-8764 - Phone
- (205) 381-2381
- NPI assigned
- Sep 1, 2014
- Last updated
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-119628 | AL | Primary |
Addresses
Primary practice location
300 1St St N Ste C
Alabaster, AL 35007-8764
Mailing address
300 1St St N Ste C
Alabaster, AL 35007-8764
Phone (205) 663-5990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104226851 | Other | AL | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 5, 2024 through Jun 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-119628 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Family Medicine Clinic LLC | Current | Accepting new patients | |
| Alabama Family Medicine, P.C. | Past | Accepting new patients |
Locations
300 1st St N
Ste C
Alabaster, AL 35007
Phone (205) 663-5990
Interoperability endpoints
- jennifer.gafnea@562435417374724.direct.elationemr.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.
-
- Clinic/Center
- Alabaster, AL
- NPI 1730893439
-
- Geriatric Medicine (Family Medicine) Physician
- Alabaster, AL
- NPI 1043340284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1104226851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 1ST ST N STE C",
"city": "ALABASTER",
"state": "AL",
"postal_code": "350078764",
"telephone_number": "205-663-5990",
"fax_number": "877-849-9935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 1ST ST N STE C",
"city": "ALABASTER",
"state": "AL",
"postal_code": "350078764",
"telephone_number": "205-381-2381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAFNEA",
"first_name": "JENNIFER",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-01",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-119628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1104226851",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alabaster, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.