Jennifer Jo Beatty, CRNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1-074009 (PENDING) Issued in AL

Practice address

133 Heatherwood Dr
Madison, AL 35758-8259

Phone

(256) 348-5147

Fax

(245) 970-4161

NPI assigned

Apr 14, 2011

Last updated

Mar 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Jo Howard Brooks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1386944239
  NPD (past)

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1851681548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HEATHERWOOD DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588259",
            "telephone_number": "256-348-5147",
            "fax_number": "256-970-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HEATHERWOOD DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588259",
            "telephone_number": "256-348-5147",
            "fax_number": "245-970-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "JENNIFER",
        "middle_name": "JO",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-074009 (PENDING)",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HOWARD BROOKS",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori Bateman, LICSW
• Timothy C Batt, RPH
• Anne Elizabeth Bauer, M.D.
• Kelly Baugher, CRNP
• Hannah M Beaird
• Nathan J Beaulieu, ALC
• Amy Beck, CFNP
• Karin K Beck, PT, DPT
• James Rice Becknell, BS, PHARMD
• Brittany Madison Beddingfield

• Acute Care Nurse Practitioner in Madison, AL
• Providers in Madison, AL by specialty
• Acute Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.