Individual provider Active NPI

Jessica Wallace Howard, MSN, AGNP-C

  • Nurse Practitioner
  • Guntersville, AL
National Provider Identifier
1215473780
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-117388 Issued in AL
Practice address
55 Rowe Dr
Suite C
Guntersville, AL 35976-7366
Phone
(256) 571-8807
NPI assigned
Jan 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-117388 AL Primary

Addresses

Primary practice location

55 Rowe Dr
Suite C
Guntersville, AL 35976-7366

Mailing address

55 Rowe Dr
Suite C
Guntersville, AL 35976-7366
Phone (256) 571-8807

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
I20170419001522 AL Practitioner - Nurse Practitioner 8527344985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

55 Rowe Dr
Suite C
Guntersville, AL 35976-7366
Phone (256) 571-8810

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center South Medical Specialists of North Alabama CurrentSince Jan 1, 2018 Accepting new patients

Locations

2505 US Highway 431
Boaz, AL 35957
Phone (256) 546-5287

2525 US Highway 431
Ste 220
Boaz, AL 35957
Phone (256) 840-4520

2525 US Highway 431
Ste 150
Boaz, AL 35957
Phone (256) 593-4560

55 Rowe Dr
#C
Guntersville, AL 35976
Phone (256) 571-8810

8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000

Interoperability endpoints

  • Direct secure messaging: jessicahoward@msnal.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1215473780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ROWE DR",
            "address_2": "SUITE C",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767366",
            "telephone_number": "256-571-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ROWE DR",
            "address_2": "SUITE C",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767366",
            "telephone_number": "256-571-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "JESSICA",
        "middle_name": "WALLACE",
        "name_prefix": "Mrs.",
        "credential": "MSN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-117388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.