Active NPI
Jessica M Wright, CRNP
- Adult Health Nurse Practitioner
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1-122709
- Practice address
- 790 Montclair Rd
Suite 200
Birmingham, AL 35213-1966 - Phone
- (205) 599-1020
- Fax
- (205) 599-1029
- NPI assigned
- Feb 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1-122709 | AL | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 1122709 | AL |
Addresses
Primary practice location
790 Montclair Rd
Suite 200
Birmingham, AL 35213-1966
Mailing address
790 Montclair Rd
Suite 200
Birmingham, AL 35213-1966
Phone (205) 599-1020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 631081415 | Other | AL | TAX ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
790 Montclair Rd
Suite 200
Birmingham, AL 35213-1966
Phone (205) 599-1020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1122709 | AL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Sleep Center PC | Current | Accepting new patients |
Locations
790 Montclair Rd
Ste 200
Birmingham, AL 35213
Phone (205) 599-1020
1406 McFarland Blvd N
Ste C
Tuscaloosa, AL 35406
Phone (205) 343-0004
1406 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 248-0095
100 Towncenter Blvd
Ste 111
Tuscaloosa, AL 35406
Phone (205) 330-8820
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1619249554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 MONTCLAIR RD",
"address_2": "SUITE 200",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352131966",
"telephone_number": "205-599-1020",
"fax_number": "205-599-1029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 MONTCLAIR RD",
"address_2": "SUITE 200",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352131966",
"telephone_number": "205-599-1020",
"fax_number": "205-599-1029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "JESSICA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-08",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AL",
"license": "1-122709",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AL",
"license": "1122709",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "631081415",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.