JACQUELINE UNDERWOOD (NPI# 1578048922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578048922 |
| Entity Type | Individual |
| Full Name | JACQUELINE UNDERWOOD |
| Credential | NP |
| Practice Address |
39 Ashwood Rd Butler AL 36904-3690 |
| Mailing Address |
39 Ashwood Rd Butler AL 36904-2860 |
| Practice Telephone | 2054593934 |
| Mailing Telephone | 2054593934 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
232595 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
903426 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-106108 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
39 ASHWOOD RD |
| City | BUTLER |
| State | AL |
| Zip Code | 36904-3690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568863785 | Mobile Picc Specialists | Nursing Facility/Intermediate Care Facility | 39 Ashwood Rd, Butler, AL 36904-2860 | 2014-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184993727 | Rush Hospital/butler, Inc. | General Acute Care Hospital | 401 Vanity Fair Lane, Butler, AL 36904 | 2011-12-28 |
| 1043360233 | Joseph M Moody | Dentist | 505 E Pushmataha Street, Butler, AL 36904 | 2007-01-11 |
| 1811268592 | Rush Hospital/butler,inc | Emergency Medicine | 401 Vanity Fair Lane, Butler, AL 36904 | 2012-01-26 |
| 1811268410 | Rush Hospital/butler, Inc. | Medicare Defined Swing Bed Unit | 401 Vanity Fair Lane, Butler, AL 36904 | 2012-01-13 |
| 1487739314 | Louis Keith Guinn | Family Medicine | 315 E Pushmataha St, Butler, AL 36904-0678 | 2006-10-26 |
| 1164859583 | Mustard Seed Companion Care | In Home Supportive Care | 702 Stevens Rd, Butler, AL 36904-2151 | 2013-09-30 |
| 1730111766 | Freds Stores of Tennessee Inc | Pharmacy | 307 N Mulberry Ave, Butler, AL 36904-2203 | 2006-07-07 |
| 1457587404 | Gentiva Certified Healthcare Corp. | Home Health | 114 N Academy Ave, Butler, AL 36904-2206 | 2009-06-04 |
| 1558445999 | Jimmy Cleveland White | Dentist | 123 W Alabama St, Butler, AL 36904-2211 | 2006-10-24 |
| 1962737916 | W Britt Morris, Dmd PC | Dentist | 123 W Alabama St, Butler, AL 36904-2211 | 2009-10-08 |
| Find all providers in zip 36904 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982899969 | Rachel S. K. Christy | Nurse Practitioner | 1 Hospital Way Fl 1, Butler, PA 16001 | 2007-09-12 |
| 1588156350 | Alison Stacy | Nurse Practitioner | 1 Hospital Way, Butler, PA 16001 | 2018-06-06 |
| 1568898617 | Jonathan David Summers | Nurse Practitioner | 389 New Castle Rd, Butler, PA 16001-1743 | 2013-09-20 |
| 1366595696 | Shelley Neff Milanovich | Nurse Practitioner | 389 New Castle Rd, Butler, PA 16001-1743 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441821 | Jordan Forsythe | Nurse Practitioner | 903 Faculty Office Tower 510 20th Street South, Birmingham, AL 35293-0001 | 2020-09-10 |
| 1972116242 | Adonis Carol Goodwin | Nurse Practitioner | 1201 11th Ave S Fl 4, Birmingham, AL 35205-3423 | 2020-08-26 |
| 1912519091 | Latresa Chaval Davis | Nurse Practitioner | 3737 Government Blvd Ste 408, Mobile, AL 36693-4362 | 2020-08-19 |
| 1144847930 | Lauren Elizabeth Dial | Nurse Practitioner | 5025 Ewell Ln, Irondale, AL 35210-3305 | 2020-06-29 |
| 1801412952 | William Ryan Lemon | Nurse Practitioner | 701 19th St S # Lhr748, Birmingham, AL 35233-1926 | 2020-06-24 |
| 1831718808 | Cheng Wei Hseu | Nurse Practitioner | 701 19th St S # Lhrb112, Birmingham, AL 35233-1926 | 2020-04-10 |
| 1417580705 | Elizabeth Fay Wasylow | Nurse Practitioner | 1022 County Road 28, Scottsboro, AL 35768-6458 | 2020-02-15 |
| 1124659487 | Shanita Peoples | Nurse Practitioner | 23 Midtown Park W Ste B-1, Mobile, AL 36606-4139 | 2020-01-27 |
| 1104456920 | Southern Divine Family Medical Center LLC | Nurse Practitioner | 7130 6th Ave, Altoona, AL 35952-9052 | 2020-01-21 |
| 1902442270 | Candace Haake Hill | Nurse Practitioner | 619 19th St S # Wp302, Birmingham, AL 35249-1900 | 2019-11-21 |
| 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.