Jasma Dean, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A1013008 Issued in AL

Practice address

4400 Watermelon Rd
Suite B
Northport, AL 35473-5204

Phone

(205) 345-6302

Fax

(205) 247-4300

NPI assigned

Oct 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jasma.dean.1@22854.direct.athenahealth.com

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.

• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1336748300

  AL, Nurse Practitioner

  Medicare reassignment NPD
• West Alabama Nephrology, PC

  • Specialist
  • Northport, AL
  • NPI 1225197197

  AL

  Medicare reassignment
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1134739089

  Nurse Practitioner

  NPD
• Prestige Family Medicine

  • Nephrology Physician
  • Jasper, AL
  • NPI 1447406301
  NPD (past)

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1679944656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 WATERMELON RD",
            "address_2": "SUITE B",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735204",
            "telephone_number": "205-345-6302",
            "fax_number": "205-247-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 WATERMELON RD",
            "address_2": "SUITE B",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735204",
            "telephone_number": "205-345-6302",
            "fax_number": "205-247-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "JASMA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "A1013008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Davis, PT
• Caroline J Day, MD
• DCH Encore Rehabilitation, LLC
• DCH Encore Rehabilitation, LLC
• DCH Provider Services, LLC
• Marcus A Dempsey, DMD
• Caroline Dent, MAT, LAT, ATC
• Kailey Dever, SLP
• Sharon Kay Dickerson, CRNP
• Joshua Dolphin

• All providers in Northport, AL
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.