Active NPI
Jaclyn Marie Bandell, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Asheville, NC
National Provider Identifier
1457655797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5007968
- Practice address
- 7 McDowell St
Suite 200
Asheville, NC 28801-4116 - Phone
- (828) 257-4745
- Fax
- (828) 252-2168
- NPI assigned
- Dec 30, 2010
- Last updated
- Mar 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R178088 | MD | |
| Family Nurse Practitioner | 363LF0000X | RN230719 | GA | |
| Family Nurse Practitioner | 363LF0000X | 5007968 | NC | Primary |
Addresses
Primary practice location
7 McDowell St
Suite 200
Asheville, NC 28801-4116
Mailing address
119 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 257-4745
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R178088 | MD | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julian F Keith Alcohol and Drug Abuse Treatment Center | Current | Accepting new patients | |
| Julian F Keith Alcohol and Drug Abuse Treatment Center | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Julian F. Keith ADATC Outpatient Services
- Community/Behavioral Health Agency
- Black Mountain, NC
- NPI 1528667763
-
- Psychiatric Hospital
- Black Mountain, NC
- NPI 1992851331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1457655797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 HENDERSONVILLE RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288032868",
"telephone_number": "828-257-4745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 MCDOWELL ST",
"address_2": "SUITE 200",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014116",
"telephone_number": "828-257-4745",
"fax_number": "828-252-2168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDELL",
"first_name": "JACLYN",
"middle_name": "MARIE",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-30",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R178088",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN230719",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5007968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.