Individual provider Active NPI

Jennifer Gafnea, CRNP

  • Family Nurse Practitioner
  • Alabaster, AL
National Provider Identifier
1104226851
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-119628 Issued in AL
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1104226851OtherALNPI

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
1-119628ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Family Medicine Clinic LLC CurrentSince Jan 15, 2023 Accepting new patients
Alabama Family Medicine, P.C. PastSince Jan 8, 2023 Accepting new patients

Locations

300 1st St N
Ste C
Alabaster, AL 35007
Phone (205) 663-5990

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.