January Blalock, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-090285 Issued in AL

Practice address

504 McCurdy Ave S Ste 6
Rainsville, AL 35986-5254

Phone

(256) 638-9161

NPI assigned

Feb 2, 2017

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

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prime Healthcare Services-Gadsden Physician Management LLCGroup PAC ID 7113231945, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverview Regional Medical Center Hospital, Gadsden, AL, CCN 010046

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4

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.

• Prime Healthcare Services-Gadsden Physician Management LLC

  • Family Medicine Physician
  • Gadsden, AL
  • NPI 1356731467
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Alabama-TCG, Inc.

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1144709601

  AL

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas-TCG, PLLC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1902384464
  NPD
• Family First Medicine LLC

  dba Family First Medicine of Scottsboro

  • Family Medicine Physician
  • Scottsboro, AL
  • NPI 1780192765
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services - Gadsden LLC

  dba Riverview Regional Medical Center

  • General Acute Care Hospital
  • Gadsden, AL
  • NPI 1992103857
  Care Compare affiliation
• Prime Healthcare Services Gadsden LLC

  dba Riverview Imaging Center

  • Radiology Clinic/Center
  • Gadsden, AL
  • NPI 1801294764

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1902344658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359860649",
            "telephone_number": "256-638-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MCCURDY AVE S STE 6",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359865254",
            "telephone_number": "256-638-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLALOCK",
        "first_name": "JANUARY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-090285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amedisys Home Health of Alabama, LLC (Adoration Home Health)
• John Pershing Anderson Jr., DMD
• As Close As Family
• Zachary James Beason
• Jansen Robb Blackwell, DO
• Andrea W Boswell, PHARMD
• Tara Steed Brown, CRNP
• Morgan Bryant, CRNP
• Melissa Buff, MS, CCC-SLP
• Sebrina Estella Butts, CRNP

• Family Nurse Practitioner in Rainsville, AL
• Providers in Rainsville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.