Individual provider Active NPI

Jennifer Poplawski, APRN

  • Gerontology Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1699199141
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-192543 Issued in AL
Practice address
1900 International Park Dr Ste 200
Birmingham, AL 35243-4217
Phone
(205) 635-3878
NPI assigned
Feb 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN001663 NV
Gerontology Nurse Practitioner 363LG0600X 1-192543 AL Primary

Addresses

Primary practice location

1900 International Park Dr Ste 200
Birmingham, AL 35243-4217

Mailing address

1900 International Park Dr Ste 200
Birmingham, AL 35243-4217
Phone (205) 635-3878

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
I20250219001277 AL Practitioner - Nurse Practitioner 7113206186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN001663NVMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Advantage Midco, LLC Past Accepting new patients

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": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1699199141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 INTERNATIONAL PARK DR STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352434217",
            "telephone_number": "205-635-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 INTERNATIONAL PARK DR STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352434217",
            "telephone_number": "205-635-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPLAWSKI",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "APRN001663",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-192543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.