Jacqueline Taylor Averette, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-155882 Issued in AL

Practice address

5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698

Phone

(205) 343-2225

Fax

(205) 343-7825

NPI assigned

Jan 15, 2020

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, TN, NY3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central New York Medicine PCGroup PAC ID 5799264263, 3 clinicians

Infusion Express of Tennessee PCGroup PAC ID 3072849637, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: taylor.averette.medcentersouth@mcs.direct.systemedx.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.

• Infusion Express of Tennessee, PC

  • Clinic/Center
  • Hendersonville, TN
  • NPI 1003379108
  Medicare reassignment Care Compare group NPD
• Central New York Medicine PC

  • Clinic/Center
  • New York, NY
  • NPI 1780541938
  Medicare reassignment Care Compare group
• Advantage Family Care Inc

  • Urgent Care Clinic/Center
  • Florence, AL
  • NPI 1023447943
  Medicare reassignment NPD
• Medcenter Primary Care, LLC

  • Family Medicine Physician
  • Northport, AL
  • NPI 1922546357
  Medicare reassignment NPD
• Advantage Family Care, Inc.

  • Rural Health Clinic/Center
  • Athens, AL
  • NPI 1518674936
  NPD
• Ivxpress Inc

  • Infusion Therapy Clinic/Center
  • Overland Park, KS
  • NPI 1801025481
  NPD (past)

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1699315937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 OSCAR BAXTER DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053698",
            "telephone_number": "205-343-2225",
            "fax_number": "205-343-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 OSCAR BAXTER DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053698",
            "telephone_number": "205-343-2225",
            "fax_number": "205-343-7825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 McFarland Blvd",
            "address_purpose": "LOCATION",
            "city": "Northport",
            "state": "AL",
            "postal_code": "354762838",
            "country_code": "US",
            "telephone_number": "205-333-1993",
            "fax_number": "205-333-0782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVERETTE",
        "first_name": "JACQUELINE",
        "middle_name": "TAYLOR",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-155882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnie Eugene Attaway, R.PH.
• Gurpreet Gavin Atwal, MD
• Audrey Austin, PH.D.
• Autumnwoods Certified Residential Care Facility Inc.
• Avail Management Services LLC
• Daniel M Avery, M.D.
• Lizmarie Aviles-Gonzalez, PHARMD
• Mohammad Azam, MD
• B Home Care Al, LLC
• Babb Anderson LLC

• Family Nurse Practitioner in Tuscaloosa, AL
• Providers in Tuscaloosa, 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 Jan 23, 2021; 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.