Individual provider Active NPI

Jacqueline Hope Veasey

  • Family Nurse Practitioner
  • Andalusia, AL
National Provider Identifier
1194448506
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-165028 Issued in AL
Practice address
614 W Bypass
Andalusia, AL 36420-4731
Phone
(334) 222-0119
Fax
(334) 427-9522
NPI assigned
Sep 21, 2022
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 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 1-165028 AL Primary

Addresses

Primary practice location

614 W Bypass
Andalusia, AL 36420-4731

Mailing address

614 W Bypass
Andalusia, AL 36420-4731
Phone (334) 222-0119

Other identifiers 1

IdentifierTypeStateIssuer
29557MedicaidAL

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
I20241121001963 AL Practitioner - Nurse Practitioner 2062947427 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andalusia Physician Practices LLC CurrentSince Nov 1, 2024 Accepting new patients
Andalusia Physician Practices LLC Current Accepting new patients
Andalusia Physician Practices LLC CurrentSince Nov 1, 2024 Accepting new patients
Andalusia Professional Services LLC Family Past Accepting new patients

Locations

301 Medical Ave
Ste A
Andalusia, AL 36420
Phone (334) 222-9100

301 Medical Ave
Ste C
Andalusia, AL 36420
Phone (334) 222-1211

Interoperability endpoints

  • Direct secure messaging: jacqueline.veasey.1@19364.direct.athenahealth.com

Organizations & group practices 4

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1194448506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 W BYPASS",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364204731",
            "telephone_number": "334-222-0119",
            "fax_number": "334-427-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W BYPASS",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364204731",
            "telephone_number": "334-222-0119",
            "fax_number": "334-427-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEASEY",
        "first_name": "JACQUELINE",
        "middle_name": "HOPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-165028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29557",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

Verify at the official NPI Registry.