Individual provider Active NPI

Jennifer Rene' Doolittle, CRNP

  • Family Nurse Practitioner
  • Gardendale, AL
National Provider Identifier
1982460986
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1175978 Issued in AL
Practice address
256 Garden Dr
Gardendale, AL 35071-3859
Phone
(251) 406-1529
NPI assigned
Feb 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 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 1175978 AL Primary

Addresses

Primary practice location

256 Garden Dr
Gardendale, AL 35071-3859

Mailing address

256 Garden Dr
Gardendale, AL 35071-3859
Phone (251) 406-1529

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
I20240530000288 AL Practitioner - Nurse Practitioner 5294177705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospice Advantage Midco LLCGroup PAC ID 6608020334, 12 clinicians

Practice addresses (Care Compare)

1900 International Park Dr
Suite 200
Birmingham, AL 35243-4217
Phone (205) 730-7980

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1175978ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Advantage Midco, LLC Family CurrentSince Apr 17, 2024 Accepting new patients
Hospice Advantage Midco, LLC Current Accepting new patients
Compassus Op of Alabama LLC Past Accepting new patients

Locations

333 Samford Village Ct
Ste B
Auburn, AL 36830
Phone (334) 458-9256

1900 International Park Dr
Ste 200
Birmingham, AL 35243
Phone (205) 602-3931

1900 International Park Dr
Ste 2
Birmingham, AL 35243

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1982460986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 GARDEN DR",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713859",
            "telephone_number": "251-406-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 GARDEN DR",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713859",
            "telephone_number": "251-406-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLITTLE",
        "first_name": "JENNIFER",
        "middle_name": "RENE'",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1175978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

Verify at the official NPI Registry.