Active NPI
Claressa Lajune Sanders Jones, CRNP
- Family Nurse Practitioner
- Tuscaloosa, AL
National Provider Identifier
1730474156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-108168
- Practice address
- 535 Jack Warner Pkwy NE
Suite K
Tuscaloosa, AL 35404-5751 - Phone
- (205) 758-6471
- Fax
- (205) 758-6472
- NPI assigned
- Jun 14, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-108168 | AL | Primary |
Addresses
Primary practice location
535 Jack Warner Pkwy NE
Suite K
Tuscaloosa, AL 35404-5751
Mailing address
904 Anna Ave
Tuscaloosa, AL 35401-2014
Phone (205) 345-6960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CRNP RX # 3241 | Other | AL | ALABAMA BOARD OF NURSING |
Other names 1
- Claressa Lajune Sanders
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-108168 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert J. Bentley LLC | Current | Accepting new patients | |
| Southern Surgical Associates LLC | Past | Accepting new patients | |
| University Family Practice, P.C. | Past | Accepting new patients |
Locations
4960 Rice Mine Rd NE
Ste 40
Tuscaloosa, AL 35406
Phone (205) 759-1519
Organizations & group practices 3
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.
-
- Dermatology Physician
- Tuscaloosa, AL
- NPI 1790338994
-
- Surgery Physician
- Tuscaloosa, AL
- NPI 1619026713
-
- Family Medicine Physician
- Tuscaloosa, AL
- NPI 1225137763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507766400000",
"number": "1730474156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 ANNA AVE",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354012014",
"telephone_number": "205-345-6960",
"fax_number": "205-342-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 JACK WARNER PKWY NE",
"address_2": "SUITE K",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354045751",
"telephone_number": "205-758-6471",
"fax_number": "205-758-6472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS JONES",
"first_name": "CLARESSA",
"middle_name": "LAJUNE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2017-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-108168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA BOARD OF NURSING",
"identifier": "CRNP RX # 3241",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CLARESSA",
"last_name": "SANDERS",
"middle_name": "LAJUNE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.