Individual provider Active NPI

Jennifer Gamble, CRNA

  • Certified Registered Nurse Anesthetist
  • Tuscaloosa, AL
National Provider Identifier
1982657557
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-052344 Issued in AL
Practice address
1400 McFarland Blvd N
Tuscaloosa, AL 35406-2209
Phone
(205) 345-5500
Fax
(205) 502-5152
NPI assigned
May 17, 2006
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-052344 AL Primary

Addresses

Primary practice location

1400 McFarland Blvd N
Tuscaloosa, AL 35406-2209

Mailing address

16023 Carmel Bay Dr
Northport, AL 35475-4002
Phone (205) 330-1869

Other practice location 1

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 939-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000183 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365467362 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuscaloosa Anesthesia Associates LLCGroup PAC ID 8628426178, 26 clinicians
DCH Medical Center CrnaGroup PAC ID 5395933626, 34 clinicians

Practice addresses (Care Compare)

1400 McFarland Blvd N
Tuscaloosa, AL 35406-2209
Phone (205) 345-5500

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 759-7484

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
42271KYMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Apr 1, 2024 Accepting new patients
Tuscaloosa Anesthesia Associates LLC CurrentSince Oct 28, 2023 Accepting new patients
DCH Medical Center Crna Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2011 Accepting new patients
Southern Perioperative Services P C CurrentSince Apr 1, 2011 Accepting new patients

Locations

975 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-8700

1600 Carraway Blvd
Birmingham, AL 35234
Phone (205) 502-6000

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1400 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 345-5500

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1982657557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16023 CARMEL BAY DR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354754002",
            "telephone_number": "205-330-1869",
            "fax_number": "205-759-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MCFARLAND BLVD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062209",
            "telephone_number": "205-345-5500",
            "fax_number": "205-502-5152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Saint Vincents Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352051601",
            "country_code": "US",
            "telephone_number": "205-939-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "JENNIFER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-052344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.