Individual provider Active NPI

Jennifer Leigh Ann Heinzman, CRNP

  • Acute Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1245871789
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-094296 Issued in AL
Practice address
100 Pilot Medical Dr Ste 300
Birmingham, AL 35235-3412
Phone
(205) 815-4810
Fax
(205) 815-4777
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-094296 AL Primary

Addresses

Primary practice location

100 Pilot Medical Dr Ste 300
Birmingham, AL 35235-3412

Mailing address

100 Pilot Medical Dr Ste 300
Birmingham, AL 35235-3412
Phone (205) 856-2284

Other names 1

  • Mrs. Jennifer Ash Ritch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-094296ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Surgical Associates, P.C. CurrentSince Jun 23, 2026 Accepting new patients

Locations

52 Medical Park Dr E
Ste 308
Birmingham, AL 35235
Phone (205) 838-3025

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBACA

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.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1245871789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PILOT MEDICAL DR STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353412",
            "telephone_number": "205-856-2284",
            "fax_number": "205-815-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PILOT MEDICAL DR STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353412",
            "telephone_number": "205-815-4810",
            "fax_number": "205-815-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZMAN",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-094296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RITCH",
            "middle_name": "ASH",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.