Active NPI
Jane Condrey
- Pediatric Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1134598899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1-055840
- Practice address
- 1601 4TH Ave S
Suite M220
Birmingham, AL 35233-1723 - Phone
- (205) 638-9072
- Fax
- (205) 975-7080
- NPI assigned
- Sep 23, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1-055840 | AL | Primary |
Addresses
Primary practice location
1601 4TH Ave S
Suite M220
Birmingham, AL 35233-1723
Mailing address
703 Volker HL
Suite M220
Birmingham, AL 35294-0001
Phone (205) 934-3795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-055840 | Other | AL | BOARD OF NURSING |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-055840 | AL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uahsf PC Department of Peds Hemoc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Birmingham, AL
- NPI 1255598934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1134598899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 VOLKER HL",
"address_2": "SUITE M220",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352940001",
"telephone_number": "205-934-3795",
"fax_number": "205-975-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 4TH AVE S",
"address_2": "SUITE M220",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331723",
"telephone_number": "205-638-9072",
"fax_number": "205-975-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDREY",
"first_name": "JANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-23",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AL",
"license": "1-055840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF NURSING",
"identifier": "1-055840",
"state": "AL"
}
],
"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, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.