Individual provider Active NPI

Jessica S Lamb, NP-C

  • Family Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1841963568
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-129099 Issued in AL
Practice address
1865 Honeysuckle Rd Ste 3
Dothan, AL 36305-4287
Phone
(334) 673-0494
Fax
(334) 356-1426
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 1-129099 AL Primary

Addresses

Primary practice location

1865 Honeysuckle Rd Ste 3
Dothan, AL 36305-4287

Mailing address

1865 Honeysuckle Rd Ste 3
Dothan, AL 36305-4287
Phone (334) 673-0494

Other practice location 1

2900 McGehee Rd
Montgomery, AL 36111-2151
Phone (334) 280-3349

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
I20210824003233 AL Practitioner - Nurse Practitioner 9335544683 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-129099ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Alabama AIDS Outreach Inc Current Accepting new patients
West Alabama AIDS Outreach Inc CurrentSince Aug 20, 2024 Accepting new patients
West Alabama AIDS Outreach Past Accepting new patients

Locations

1865 Honeysuckle Rd
Ste 3
Dothan, AL 36305
Phone (334) 673-0494

2900 McGehee Rd
Montgomery, AL 36111
Phone (334) 280-3349

2573 Fairlane Dr
Montgomery, AL 36116
Phone (334) 280-3349

2703 7th St
Tuscaloosa, AL 35401
Phone (205) 723-2389

Interoperability endpoints

  • Direct secure messaging: jessica.lamb.1@30992.direct.athenahealth.com

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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1841963568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 HONEYSUCKLE RD STE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054287",
            "telephone_number": "334-673-0494",
            "fax_number": "334-836-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 HONEYSUCKLE RD STE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054287",
            "telephone_number": "334-673-0494",
            "fax_number": "334-356-1426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 McGehee Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361112151",
            "country_code": "US",
            "telephone_number": "334-280-3349",
            "fax_number": "334-356-1426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMB",
        "first_name": "JESSICA",
        "middle_name": "S",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2024-06-11",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-129099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.