Jennifer L Byrd, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-118405 Issued in AL

Practice address

3610 Springhill Memorial Dr N
Mobile, AL 36608-1162

Phone

(251) 410-3600

NPI assigned

Jun 18, 2013

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imc-Rehabilitation Specialists LLCGroup PAC ID 5799055406, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbyrd83593@directinfirmaryhealth.org

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.

• Imc-Rehabilitation Specialists LLC

  • Physical Medicine & Rehabilitation Physician
  • Mobile, AL
  • NPI 1437687381
  Medicare reassignment Care Compare group NPD
• Laser and Skin Care Center of Mobile

  • Procedural Dermatology Physician
  • Mobile, AL
  • NPI 1023195393
  NPD
• Alabama Orthopaedic Clinics, PC

  • Specialist
  • Mobile, AL
  • NPI 1306846654
  NPD (past)
• Coastal Anesthesia, P.C.

  • Anesthesiology Physician
  • Mobile, AL
  • NPI 1588637169
  NPD (past)
• MW Wellness Xvii, LLC

  dba Medi-Weightloss

  • Obesity Medicine (Family Medicine) Physician
  • Mobile, AL
  • NPI 1356723563
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679912190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 SPRINGHILL MEMORIAL DR N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081162",
            "telephone_number": "251-410-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 SPRINGHILL MEMORIAL DR N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081162",
            "telephone_number": "251-410-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 N Lafayette St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366042208",
            "country_code": "US",
            "telephone_number": "251-303-8002",
            "fax_number": "251-841-6019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRD",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-118405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-118405",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AL",
            "license": "1-118405",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF NURSING",
            "identifier": "1-118405",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Bydalek, FNP-BC
• Natasha Bynum
• Carolyn W Byrd, M.S., CCC-SLP
• Charlotte Stephanie Byrd, CRNP
• James Nelson Byrd Jr., MD
• Kayla Catherine Byrd, FNP-C
• Timothy N Byrd, D.M.D.
• Whitney Dowdy Byrd
• Fiona Caroline Byrne-Flores, M.S., CCC-SLP
• Jason Burns Byrum, M.A., LMFT LICENSE #

• Family Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.