Individual provider Active NPI

Jessica Burkeen, CRNP

  • Acute Care Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1306346150
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-122383 Issued in AL
Practice address
1104 Monroe St SW
Huntsville, AL 35801-5029
Phone
(256) 265-5864
NPI assigned
Feb 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 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 1-122383 AL Primary

Addresses

Primary practice location

1104 Monroe St SW
Huntsville, AL 35801-5029

Mailing address

PO Box 2705
Huntsville, AL 35804-2705
Phone (256) 265-5864

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
I20190531000679 AL Practitioner - Nurse Practitioner 2466785795 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HH Physicians Network CurrentSince Jul 1, 2020 Accepting new patients
Huntsville Hospital Lung Center CurrentSince May 1, 2019 Accepting new patients

Locations

1104 Monroe St SW
Huntsville, AL 35801
Phone (256) 265-7000

420 Lowell Dr SE
Fl 5
Huntsville, AL 35801
Phone (256) 817-5977

8371 Highway 72 W
Ste 204
Madison, AL 35758
Phone (256) 351-6154

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

Organizations & group practices 2

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": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1306346150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2705",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358042705",
            "telephone_number": "256-265-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 MONROE ST SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015029",
            "telephone_number": "256-265-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKEEN",
        "first_name": "JESSICA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-122383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.