Active NPI
Melissa Jennings
- Physical Medicine & Rehabilitation Physician
- Montgomery, AL
National Provider Identifier
1689769747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 19899
- Practice address
- 301 Interstate Park Dr
Montgomery, AL 36109-5408 - Phone
- (334) 395-5100
- NPI assigned
- Oct 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 19899 | AL | Primary |
Addresses
Primary practice location
301 Interstate Park Dr
Montgomery, AL 36109-5408
Mailing address
301 Interstate Park Dr
Montgomery, AL 36109-5408
Phone (334) 395-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51531918 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19899 | AL | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1689769747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 INTERSTATE PARK DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361095408",
"telephone_number": "334-395-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 INTERSTATE PARK DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361095408",
"telephone_number": "334-395-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "MELISSA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AL",
"license": "19899",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51531918",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.