Individual provider Active NPI

Jennifer Nicole McLeod Saizan, AGNP-C

  • Gerontology Nurse Practitioner
  • Hoover, AL
National Provider Identifier
1104261973
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-111203 Issued in AL
Practice address
2 Chase Corporate Dr Ste 300
Hoover, AL 35244-1015
Phone
(312) 262-2739
Fax
(312) 564-4059
NPI assigned
May 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R893592 MS
Gerontology Nurse Practitioner 363LG0600X 1-111203 AL Primary

Addresses

Primary practice location

2 Chase Corporate Dr Ste 300
Hoover, AL 35244-1015

Mailing address

3 Mobile Infirmary Cir
Suite 410
Mobile, AL 36607-3520
Phone (251) 433-3344

Other practice location 1

3 Mobile Infirmary Cir
Suite 410
Mobile, AL 36607-3520
Phone (251) 433-3344

Other names 1

  • Jennifer Nicole McLeod Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140505001025 AL Practitioner - Nurse Practitioner 9830322544 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R893592MSMDAdult Health Nurse Practitioner
1-111203ALMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Care Ventures, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Pulmonary Associates of Mobile PC Past Accepting new patients

Locations

3008 7th Ave S
Birmingham, AL 35233
Phone (205) 320-7527

Interoperability endpoints

  • Direct secure messaging: jennifer.mcleod.d1.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: jennifer.mcleod.p2@direct.alegiscare.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1104261973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR",
            "address_2": "SUITE 410",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073520",
            "telephone_number": "251-433-3344",
            "fax_number": "251-433-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHASE CORPORATE DR STE 300",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441015",
            "telephone_number": "312-262-2739",
            "fax_number": "312-564-4059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Mobile Infirmary Cir",
            "address_2": "Suite 410",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366073520",
            "country_code": "US",
            "telephone_number": "251-433-3344",
            "fax_number": "251-433-4052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEOD SAIZAN",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "R893592",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-111203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCLEOD",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.