Individual provider Active NPI

Jamie Brooke Sewell, C.P.N.P.

  • Pediatric Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1326396359
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-106783 Issued in AL
Practice address
1600 7TH Ave S # 5604
Birmingham, AL 35233
Phone
(205) 638-9918
Fax
(205) 638-7455
NPI assigned
Aug 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1-106783 AL Primary

Addresses

Primary practice location

1600 7TH Ave S # 5604
Birmingham, AL 35233

Mailing address

1600 7TH Ave S # 5604
Birmingham, AL 35233-1711
Phone (205) 638-9918

Other practice location 1

126 Clinic Dr
Dothan, AL 36303-1980
Phone (334) 793-1881

Other practice location 2

126 Clinic Dr
Dothan, AL 36303-1980
Phone (334) 793-1881

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
I20191214000043 AL Practitioner - Nurse Practitioner 3173956638 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Dec 1, 2019 Accepting new patients
University of Alabama Health Services Foundation, PC CurrentSince Dec 1, 2019 Accepting new patients

Locations

703 Volker Hall
Birmingham, AL 35294
Phone (205) 638-9587

1600 7th Ave S
#5604
Birmingham, AL 35233
Phone (205) 638-9918

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

Interoperability endpoints

  • Direct secure messaging: jsewell22528@childrensofalabama.direct-ci.com

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": "1345680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1326396359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE S # 5604",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331711",
            "telephone_number": "205-638-9918",
            "fax_number": "205-638-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE S # 5604",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35233",
            "telephone_number": "205-638-9918",
            "fax_number": "205-638-7455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Clinic Dr",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363031980",
            "country_code": "US",
            "telephone_number": "334-793-1881",
            "fax_number": "334-712-1815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Clinic Dr",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363031980",
            "country_code": "US",
            "telephone_number": "334-793-1881",
            "fax_number": "334-712-1815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "JAMIE",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-23",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-106783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.