Individual provider Active NPI

Jessica Peinhardt Rice, CRNP

  • Family Nurse Practitioner
  • Cullman, AL
National Provider Identifier
1235609124
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-124853 Issued in AL
Practice address
408 Clark St NE
Cullman, AL 35055-1953
Phone
(256) 734-3202
Fax
(256) 734-4668
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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 1-124853 AL Primary

Addresses

Primary practice location

408 Clark St NE
Cullman, AL 35055-1953

Mailing address

1900 Main Ave SW Ste 4
Cullman, AL 35055-7201
Phone (256) 734-3759

Other practice location 1

1900 Main Ave SW Ste 4
Cullman, AL 35055-7201
Phone (256) 734-3759

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
I20220805000238 AL Practitioner - Nurse Practitioner 9739561861 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-124853ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Internal Medicine Associates, LLC Family CurrentSince Dec 18, 2023 Accepting new patients
Decatur Morgan Pediatrics Past Accepting new patients
Abc Pediatric Clinic LLC Past Accepting new patients
Decatur Morgan Primary Care Past Accepting new patients
Abc Pediatric Clinic, LLC Past Accepting new patients

Locations

408 Clark St NE
Cullman, AL 35055
Phone (256) 734-3202

501 Clark St NE
Cullman, AL 35055
Phone (256) 739-9898

501 Clark St NE
Ste 380
Cullman, AL 35055
Phone (256) 739-9898

1406 Wall St
Cullman, AL 35055
Phone (256) 736-2856

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1235609124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MAIN AVE SW STE 4",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350557201",
            "telephone_number": "256-734-3759",
            "fax_number": "256-734-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 CLARK ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551953",
            "telephone_number": "256-734-3202",
            "fax_number": "256-734-4668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Main Ave SW Ste 4",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350557201",
            "country_code": "US",
            "telephone_number": "256-734-3759",
            "fax_number": "256-734-9764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "JESSICA",
        "middle_name": "PEINHARDT",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-124853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.