Individual provider Active NPI

Jennifer Sanders

  • Family Nurse Practitioner
  • Scottsboro, AL
National Provider Identifier
1437576014
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1129283 Issued in AL
Practice address
70 Freedom LN
Scottsboro, AL 35769-3763
Phone
(256) 574-5508
Fax
(256) 259-2727
NPI assigned
Mar 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1129283 AL
Family Nurse Practitioner 363LF0000X 1129283 AL Primary

Addresses

Primary practice location

70 Freedom LN
Scottsboro, AL 35769-3763

Mailing address

309 Taylor St
Scottsboro, AL 35768-2421
Phone (256) 259-5313

Other names 1

  • Jennifer Usrey Former name

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
I20140520002788 AL Practitioner - Nurse Practitioner 4587887518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Alabama Health Services, Inc.Group PAC ID 4082522883, 13 clinicians

Practice addresses (Care Compare)

13624 County Rd
Suite 8
Woodville, AL 35776-6162
Phone (256) 776-5615

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Alabama Health Services, Inc. CurrentSince Dec 27, 2024 Accepting new patients
HH Health System - the Orthopaedic Center, LLC PastSince Aug 13, 2023 Accepting new patients

Locations

29810 AL Highway 71
Bryant, AL 35958
Phone (256) 597-4114

3840 Gault Ave N
Fort Payne, AL 35967
Phone (256) 844-4975

34617 AL Highway 75
Fyffe, AL 35971
Phone (256) 623-5242

21680 AL Highway 79
Scottsboro, AL 35768
Phone (256) 587-3050

309 Taylor St
Scottsboro, AL 35768
Phone (256) 259-5313

70 Freedom Ln
Scottsboro, AL 35769
Phone (256) 574-5508

60 Main St N
Section, AL 35771
Phone (256) 228-3471

13624 County Road 8
Woodville, AL 35776
Phone (256) 776-5615

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

Organizations & group practices 3

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": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1437576014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 TAYLOR ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682421",
            "telephone_number": "256-259-5313",
            "fax_number": "256-259-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 FREEDOM LN",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357693763",
            "telephone_number": "256-574-5508",
            "fax_number": "256-259-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1129283",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1129283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "USREY",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.