Individual provider Active NPI

Jennifer Ann Purvis, NP

  • Family Nurse Practitioner
  • Bay Minette, AL
National Provider Identifier
1952003964
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-169753 Issued in AL
Practice address
18 Hand Ave
Bay Minette, AL 36507-4824
Phone
(251) 515-2273
Fax
(251) 515-4325
NPI assigned
Mar 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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 1-169753 AL Primary

Addresses

Primary practice location

18 Hand Ave
Bay Minette, AL 36507-4824

Mailing address

18 Hand Ave
Bay Minette, AL 36507-4824
Phone (251) 515-2273

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
I20230721001660 AL Practitioner - Nurse Practitioner 3072973015 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Baldwin Health & Wellness, LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

18 Hand Ave
Bay Minette, AL 36507
Phone (251) 510-3379

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24328/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1952003964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074824",
            "telephone_number": "251-515-2273",
            "fax_number": "251-515-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074824",
            "telephone_number": "251-515-2273",
            "fax_number": "251-515-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-169753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, AL

Sources for this page

Verify at the official NPI Registry.