Individual provider Active NPI

Burley Joe Flanagin, MSN, FNP-C

  • Family Nurse Practitioner
  • Jasper, AL
National Provider Identifier
1225545809
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-145136 Issued in AL
Practice address
3400 Highway 78 E
Jasper, AL 35501-8956
Phone
(205) 387-4188
Fax
(205) 387-4727
NPI assigned
Jan 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 1-145136 AL Primary

Addresses

Primary practice location

3400 Highway 78 E
Jasper, AL 35501-8956

Mailing address

3400 Highway 78 E
Jasper, AL 35501-8956
Phone (205) 387-4188

Other practice location 1

857 Highway 92
Haleyville, AL 35565-3120
Phone (205) 486-2774

Other practice location 2

857 Highway 92
Haleyville, AL 35565-3120
Phone (205) 486-2774

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
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1-145136ALMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1225545809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018956",
            "telephone_number": "205-387-4188",
            "fax_number": "205-387-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018956",
            "telephone_number": "205-387-4188",
            "fax_number": "205-387-4727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "857 Highway 92",
            "address_purpose": "LOCATION",
            "city": "Haleyville",
            "state": "AL",
            "postal_code": "355653120",
            "country_code": "US",
            "telephone_number": "205-486-2774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "857 Highway 92",
            "address_purpose": "LOCATION",
            "city": "Haleyville",
            "state": "AL",
            "postal_code": "355653120",
            "country_code": "US",
            "telephone_number": "205-486-2774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLANAGIN",
        "first_name": "BURLEY",
        "middle_name": "JOE",
        "name_prefix": "Mr.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-145136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.