Active NPI
Jesslyn White
- Physician Assistant
- Birmingham, AL
National Provider Identifier
1871368639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 401 Beacon Pkwy W
Birmingham, AL 35209-3105 - Phone
- (205) 595-4555
- NPI assigned
- Nov 21, 2023
- Last updated
- Nov 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
401 Beacon Pkwy W
Birmingham, AL 35209-3105
Mailing address
705 Statesville Rd
West Blocton, AL 35184-3737
Phone (205) 209-9187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1871368639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 STATESVILLE RD",
"city": "WEST BLOCTON",
"state": "AL",
"postal_code": "351843737",
"telephone_number": "205-209-9187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BEACON PKWY W",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352093105",
"telephone_number": "205-595-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JESSLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-21",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.