Active NPI
Jennifer Connally, CRNP
- Acute Care Nurse Practitioner
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1-119581
- Practice address
- 930 Franklin St SE
Huntsville, AL 35801-4312 - Phone
- (256) 533-3388
- Fax
- (256) 539-4099
- NPI assigned
- Oct 17, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1-119581 | AL | Primary |
Addresses
Primary practice location
930 Franklin St SE
Huntsville, AL 35801-4312
Mailing address
930 Franklin St SE
Huntsville, AL 35801-4312
Phone (256) 533-3388
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150205000685 | AL | Practitioner - Nurse Practitioner | 6800111279 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1041 Balch Rd
Suite 300
Madison, AL 35758-8822
Phone (256) 817-5955
930 Franklin St SE
Huntsville, AL 35801-4312
Phone (256) 539-4080
Hospital & facility affiliations
- Huntsville Hospital
- Athens Limestone Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-119581 | AL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HH Heart Center, LLC | Acute Care | Current | Accepting new patients |
Locations
930 Franklin St SE
Huntsville, AL 35801
1041 Balch Rd
Ste 300
Madison, AL 35758
Phone (256) 325-1540
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.
-
- Clinical Cardiac Electrophysiology Physician
- Huntsville, AL
- NPI 1255781415
Acute Care, AL
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, AL
- NPI 1144695081
Hospital
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1184028359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 FRANKLIN ST SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014312",
"telephone_number": "256-533-3388",
"fax_number": "256-539-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 FRANKLIN ST SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014312",
"telephone_number": "256-533-3388",
"fax_number": "256-539-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNALLY",
"first_name": "JENNIFER",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-17",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AL",
"license": "1-119581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
- Kendall S Conder, DPT
- Jennifer McGee Cone, M.ED., CCC-SLP
- Karin Heinz Confer, ACSW LCSW
- William Noble Confer, PH.D.
- Karen Denise Conn
- Connected Chiropractic Health and Wellness Center LLC
- Connections Counseling Collective LLC
- Lanecha R Conner, LCPC
- Julie Ann Connor, AGACNP-BC
- Marlee Bailey Connor, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.