Active NPI
Jill Mennemeier, BSN
- Registered Nurse
- Montgomery, AL
National Provider Identifier
1528338811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1-093180
- Practice address
- 602 S Lawrence St
Montgomery, AL 36104-4787 - Phone
- (334) 293-7157
- Fax
- (334) 293-7374
- NPI assigned
- Jan 4, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-093180 | AL | Primary |
Addresses
Primary practice location
602 S Lawrence St
Montgomery, AL 36104-4787
Mailing address
602 S Lawrence St
Montgomery, AL 36104-4787
Phone (334) 293-7157
Other names 1
- Jill Davis
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)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-093180 | AL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1528338811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 S LAWRENCE ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361044787",
"telephone_number": "334-293-7157",
"fax_number": "334-293-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 S LAWRENCE ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361044787",
"telephone_number": "334-293-7157",
"fax_number": "334-293-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENNEMEIER",
"first_name": "JILL",
"credential": "BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-04",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-093180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "DAVIS",
"credential": "BSN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.