Individual provider Active NPI

Jessica Croft Lawler, FNP-C

  • Family Nurse Practitioner
  • Trussville, AL
National Provider Identifier
1720640808
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-136492 Issued in AL
Practice address
145 N Chalkville Rd
Trussville, AL 35173-1330
Phone
(205) 661-3737
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-136492 AL Primary

Addresses

Primary practice location

145 N Chalkville Rd
Trussville, AL 35173-1330

Mailing address

6500 County Road 518
Hanceville, AL 35077-7734
Phone (205) 237-0646

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
I20191118000747 AL Practitioner - Nurse Practitioner 5890127617 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michele Jordan MD PC CurrentSince Sep 23, 2019 Accepting new patients

Locations

40 Purple Heart Blvd
Springville, AL 35146
Phone (205) 467-6214

145 N Chalkville Rd
Trussville, AL 35173
Phone (205) 661-3737

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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1720640808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 COUNTY ROAD 518",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350777734",
            "telephone_number": "205-237-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N CHALKVILLE RD",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731330",
            "telephone_number": "205-661-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLER",
        "first_name": "JESSICA",
        "middle_name": "CROFT",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-136492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

Verify at the official NPI Registry.