Active NPI
Ashley Jae, CRNP
- Family Nurse Practitioner
- Athens, AL
National Provider Identifier
1760879043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-105399
- Practice address
- 700 W Market St
Athens, AL 35611-2457 - Phone
- (256) 233-9292
- NPI assigned
- Apr 23, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 1-105399 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-105399 | AL | Primary |
Addresses
Primary practice location
700 W Market St
Athens, AL 35611-2457
Mailing address
107 Alford LN
Harvest, AL 35749-4883
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-105399 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Family Care North Alabama LLC | Current | Accepting new patients |
Locations
1041 Balch Rd
Ste 300
Madison, AL 35758
Phone (256) 325-1540
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.
-
- Point of Service
- Madison, AL
- NPI 1952843450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451865600000",
"number": "1760879043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 ALFORD LN",
"city": "HARVEST",
"state": "AL",
"postal_code": "357494883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W MARKET ST",
"city": "ATHENS",
"state": "AL",
"postal_code": "356112457",
"telephone_number": "256-233-9292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAE",
"first_name": "ASHLEY",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-23",
"last_updated": "2016-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "AL",
"license": "1-105399",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-105399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.