Individual provider Active NPI

Jennifer Gayle Lovell, NP

  • Pediatric Nurse Practitioner
  • Harvest, AL
National Provider Identifier
1750420196
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
200750044NP Issued in OR
Practice address
15024 E Limestone Rd Ste F
Harvest, AL 35749-7264
Phone
(256) 262-0535
Fax
(256) 262-0536
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1-099417 AL
Pediatric Nurse Practitioner 363LP0200X 200750044NP OR Primary

Addresses

Primary practice location

15024 E Limestone Rd Ste F
Harvest, AL 35749-7264

Mailing address

15024 E Limestone Rd Ste F
Harvest, AL 35749-7264
Phone (562) 620-5352

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
I20200206000225 AL Practitioner - Nurse Practitioner 9133373111 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200750044NPORMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Urgent Care, LLC CurrentSince Nov 1, 2019 Accepting new patients
Athens Limestone Health Services Past Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273

Organizations & group practices 2

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1750420196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15024 E LIMESTONE RD STE F",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357497264",
            "telephone_number": "562-620-5352",
            "fax_number": "256-262-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15024 E LIMESTONE RD STE F",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357497264",
            "telephone_number": "256-262-0535",
            "fax_number": "256-262-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELL",
        "first_name": "JENNIFER",
        "middle_name": "GAYLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-099417",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "200750044NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvest, AL

Sources for this page

Verify at the official NPI Registry.