Individual provider Active NPI

Claressa Lajune Sanders Jones, CRNP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1730474156
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-108168 Issued in AL
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

Updated by the provider on Oct 12, 2017

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 1-108168 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

IdentifierTypeStateIssuer
CRNP RX # 3241OtherALALABAMA BOARD OF NURSING

Other names 1

  • Claressa Lajune Sanders Former name

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

LicenseStateTypeSpecialty
1-108168ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J. Bentley LLC CurrentSince Jul 25, 2019 Accepting new patients
Southern Surgical Associates LLC Past Accepting new patients
University Family Practice, P.C. PastSince Mar 22, 2001 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.

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.

Verify at the official NPI Registry.