Individual provider Active NPI

Jesse Daniel Thompson, FNP-C

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1609605054
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-148667 Issued in AL
Practice address
5300 57TH St N BLDG 1
Birmingham, AL 35217-3328
Phone
(256) 702-7406
NPI assigned
Aug 1, 2024
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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 1-148667 AL Primary

Addresses

Primary practice location

5300 57TH St N BLDG 1
Birmingham, AL 35217-3328

Mailing address

5300 57TH St N BLDG 1
Birmingham, AL 35217-3328
Phone (256) 702-7406

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
I20241107001220 AL Practitioner - Nurse Practitioner 5395097950 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-148667ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Urgent Care Alabama LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

9288 Stouts Rd
Kimberly, AL 35091
Phone (205) 787-0881

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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1609605054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 57TH ST N BLDG 1",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352173328",
            "telephone_number": "256-702-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 57TH ST N BLDG 1",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352173328",
            "telephone_number": "256-702-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JESSE",
        "middle_name": "DANIEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-148667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.