BL WADSWORTH LLC (NPI# 1093252751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093252751 |
| Entity Type | Organization |
| Organization Name | BL WADSWORTH LLC |
| Practice Address |
1511 Alabama Ave Jasper AL 35501-4717 |
| Practice Telephone | 2052951001 |
| Practice Fax Number | 2052951005 |
| Mailing Telephone | 2052951001 |
| Mailing Fax Number | 2052951005 |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |
| Authorized Official Name | BRETT LEE WADSWORTH (OWNER) |
| Authorized Official Telephone | 2052951001 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APN.0992842-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60720812 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP9706 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1511 ALABAMA AVE |
| City | JASPER |
| State | AL |
| Zip Code | 35501-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194209650 | Ansley Parnell Allen | Dentist | 1208 Highway 78 East, Jasper, AL 35501 | 2018-09-20 |
| 1437659265 | A Calling Consulting and Wellness Center, LLC | Social Worker | 300 18th St West, Suite 101, Jasper, AL 35501 | 2018-02-19 |
| 1902315591 | Lucretia Fountain | Pharmacist | 1640 Hwy 78 East, Jasper, AL 35501 | 2017-09-26 |
| 1356708465 | Veterans Admistration | Clinic/Center | 1454 Jones Dairy Road, Jasper, AL 35501 | 2016-01-20 |
| 1104233717 | Garrison Stephen Cowen | Obstetrics & Gynecology | 701 East 19th Street, Jasper, AL 35501 | 2014-07-15 |
| 1700291903 | Jennifer Leah Neighbors Beasley | Internal Medicine | 1450 Jones Dairy Rd Ste 500, Jasper, AL 35501 | 2014-06-25 |
| 1841568391 | Gloria Jean Farris | Nurse Practitioner | 300 Cherokee Circle, Jasper, AL 35501 | 2011-12-12 |
| 1013205970 | Daniel Jason Morris | Orthopaedic Surgery | 1446 Jones Dairy Rd Ste 100, Jasper, AL 35501 | 2011-07-13 |
| 1417150954 | East Point Pharmacy, LLC | Pharmacy | 1442 Jones Dairy Rd., Jasper, AL 35501 | 2007-06-11 |
| 1275754210 | Karen Denise Veitch | Pharmacist | 2405 Us Hwy 78 East, Jasper, AL 35501 | 2007-05-01 |
| Find all providers in zip 35501 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1700430006 | Lusine Vardanyan | Nurse Practitioner | Memorial Hospital and Health Care Center, 800 W 9th Street, Jasper, IN 47546-2514 | 2019-07-25 |
| 1255888475 | Olivia Taylor | Nurse Practitioner | 721 W 13th St Ste 121, Jasper, IN 47546-1856 | 2016-09-06 |
| 1811381411 | Patricia Ann Waldrop | Nurse Practitioner | 2195 N Airport Rd, Jasper, AL 35504-7057 | 2015-03-23 |
| 1053494708 | Elizabeth Rodgers | Nurse Practitioner | 215 Hickman Road, Jasper, TN 37347 | 2006-10-23 |
| 1619584505 | Edward Austin Tucker | Nurse Practitioner | 20 Medical Center Dr Ste 300, Jasper, AL 35501-3428 | 2020-09-25 |
| 1902235831 | Katherine Kirigo Theuri | Nurse Practitioner | 1100 7th Ave, Northwestern Alabama Mental Health Center, Jasper, AL 35501-4329 | 2013-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250207 | Samantha Rose Pichler | Nurse Practitioner | 256 Honeysuckle Rd Ste 3, Dothan, AL 36305-1168 | 2020-09-16 |
| 1285249219 | Shea Monique Ludgood | Nurse Practitioner | 406 Skyview Dr Apt D, Birmingham, AL 35209-7620 | 2020-09-15 |
| 1710599386 | Brianna Johnson | Nurse Practitioner | 1531 N Andrews Dr, Thomasville, AL 36784-3529 | 2020-08-17 |
| 1316565336 | Alisha Hamidian | Nurse Practitioner | 1229 County Road 512, Valley Head, AL 35989-4926 | 2020-07-07 |
| 1003437880 | Kathryn Nicole Logan | Nurse Practitioner | 183 Little Doe Ln, Wetumpka, AL 36093-3093 | 2020-05-02 |
| 1831740729 | Chloe J Law | Nurse Practitioner | 3000 Southlake Park Ste 1000, Hoover, AL 35244-3293 | 2019-09-23 |
| 1528526704 | Deangelo Cartez Cooper | Nurse Practitioner | 4371 Narrow Lane Rd Ste 205, Montgomery, AL 36116-2975 | 2019-03-07 |
| 1861965493 | Taylor Barrett | Nurse Practitioner | 740 Forrest Ave, Gadsden, AL 35901-3639 | 2019-01-07 |
| 1942776695 | Brittany Ellen Kesten | Nurse Practitioner | 185 Whitesport Dr Sw Ste 5, Huntsville, AL 35801-6487 | 2018-10-21 |
| 1295217198 | Latisha Ali | Nurse Practitioner | 3000 Riverchase Galleria Ste 500, Hoover, AL 35244-2365 | 2018-09-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.