Individual provider Active NPI

Juliet Thornton, FNP-BC

  • Family Nurse Practitioner
  • Fayette, AL
National Provider Identifier
1447864160
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-141239 Issued in AL
Practice address
110 23Rd St NW
Fayette, AL 35555-1001
Phone
(205) 932-3891
NPI assigned
Sep 1, 2020
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-141239 AL Primary

Addresses

Primary practice location

110 23Rd St NW
Fayette, AL 35555-1001

Mailing address

110 23Rd St NW
Fayette, AL 35555-1001

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
I20211001002111 AL Practitioner - Nurse Practitioner 9638577877 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-141239ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Garry W Magouirk MDPC CurrentSince Jul 27, 2021 Accepting new patients

Locations

110 23rd St NW
Fayette, AL 35555
Phone (205) 932-3891

Interoperability endpoints

  • Direct secure messaging: juliet.thornton@78233744637956.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1447864160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 23RD ST NW",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355551001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 23RD ST NW",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355551001",
            "telephone_number": "205-932-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "JULIET",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-141239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayette, AL

Sources for this page

Verify at the official NPI Registry.