Individual provider Active NPI

Jillian Smith Barnette, CRNP

  • Family Nurse Practitioner
  • Northport, AL
National Provider Identifier
1487108239
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-129305 Issued in 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
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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 1-129305 AL
Family Nurse Practitioner 363LF0000X 1-129305 AL Primary

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 1

TypeEndpointUseAffiliation
Direct Messaging Address jillian.barnette.p1@direct.crd.nextgenshare.com

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
I20170912001846 AL Practitioner - Nurse Practitioner 8729351895 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-129305ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine of Tuscaloosa, LLC Past Accepting new patients
The Radiology Clinic LLC PastSince Aug 15, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jillian.barnette.p1@direct.crd.nextgenshare.com

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, 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": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1487108239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 WATERMELON RD STE 112",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735250",
            "telephone_number": "205-750-0030",
            "fax_number": "205-750-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 WATERMELON RD STE 112",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735250",
            "telephone_number": "205-750-0030",
            "fax_number": "205-750-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETTE",
        "first_name": "JILLIAN",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-129305",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-129305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jillian.barnette.p1@direct.crd.nextgenshare.com",
            "affiliation": "N",
            "address_1": "4280 Watermelon Rd Ste 112",
            "city": "Northport",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354735250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.