Jillian Smith Barnette, CRNP
Individual provider Active NPI Family Nurse Practitioner · Northport, AL
NPI 1487108239 · NPPES record last updated Feb 28, 2022
Key facts
- NPI
- 1487108239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-129305 (AL)
- Practice address
- 4280 Watermelon Rd Ste 112
Northport, AL 35473-5250 - Phone
- (205) 750-0030
- Fax
- (205) 750-0855
- NPI assigned
- Aug 10, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170912001846 | AL | Practitioner - Nurse Practitioner | 8729351895 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-129305 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Radiology Clinic LLC | Past |
Accepting new patients | |
| Family Medicine of Tuscaloosa, LLC | Past | Accepting new patients |
Interoperability endpoints
- jillian.barnette.p1@direct.crd.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-129305 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-129305 | AL | Yes |
Addresses
Primary practice location
4280 Watermelon Rd Ste 112
Northport, AL 35473-5250
Mailing address
4280 Watermelon Rd Ste 112
Northport, AL 35473-5250
Phone (205) 750-0030
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jillian.barnette.p1@direct.crd.nextgenshare.com |
Other providers in Northport, AL
- Bama Pedicatrics LLC
- Betty Jean Banks
- Amanda Lois Creel Banta
- Michael R. Barlow
- James Talmadge Barnett Jr.
- Andrea Austin Barry
- Caitlyn Noel Barton
- David Samuel Bates
- Eric Damon Batson
- Jill Michelle Beam
All providers in Northport, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.