Individual provider Active NPI

Jennifer Kuetemeyer, FNP-C

  • Family Nurse Practitioner
  • Madison, AL
National Provider Identifier
1730947250
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-172258 Issued in AL
Practice address
101 Westover Cir Ste C
Madison, AL 35758-4910
Phone
(256) 461-0209
Fax
(256) 325-3147
NPI assigned
Mar 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 1-172258 AL
Family Nurse Practitioner 363LF0000X 1-172258 AL Primary

Addresses

Primary practice location

101 Westover Cir Ste C
Madison, AL 35758-4910

Mailing address

101 Westover Cir Ste C
Madison, AL 35758-4910
Phone (256) 461-0209

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
1-172258ALMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1730947250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WESTOVER CIR STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357584910",
            "telephone_number": "256-461-0209",
            "fax_number": "256-325-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WESTOVER CIR STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357584910",
            "telephone_number": "256-461-0209",
            "fax_number": "256-325-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUETEMEYER",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "1-172258",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-172258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.