Individual provider Active NPI

Jessica M Wright, CRNP

  • Adult Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1619249554
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-122709 Issued in AL
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

Updated by the provider on Sep 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
631081415OtherALTAX 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150106001122 AL Practitioner - Nurse Practitioner 5092038620 Reassigns benefits to 1 organization

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
Comprehensive Sleep Center PCGroup PAC ID 2163686197, 7 clinicians

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

LicenseStateTypeSpecialty
1122709ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Sleep Center PC CurrentSince Feb 26, 2024 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.

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

Verify at the official NPI Registry.