Individual provider Active NPI

Emily Anne Just, CRNP-BC

  • Women's Health Nurse Practitioner
  • Jasper, AL
National Provider Identifier
1417410846
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1-150238 Issued in AL
Practice address
705 20TH Ave E
Jasper, AL 35501-4071
Phone
(205) 221-9775
NPI assigned
Apr 11, 2019
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 3-000631 AL
Women's Health Nurse Practitioner 363LW0102X 1-150238 AL Primary

Addresses

Primary practice location

705 20TH Ave E
Jasper, AL 35501-4071

Mailing address

705 20TH Ave E
Jasper, AL 35501-4071
Phone (205) 221-9775

Other practice location 1

2350 Hargrove Rd E
Tuscaloosa, AL 35405-2612
Phone (205) 562-6900

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-150238ALMDWomen's Health Nurse Practitioner
3-000631ALMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1417410846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 20TH AVE E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014071",
            "telephone_number": "205-221-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 20TH AVE E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014071",
            "telephone_number": "205-221-9775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Hargrove Rd E",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354052612",
            "country_code": "US",
            "telephone_number": "205-562-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUST",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "credential": "CRNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "3-000631",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-150238",
            "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 Aug 6, 2024; 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.