JORDAN TYLER CHAMBERS (NPI# 1609347574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609347574 |
Entity Type | Individual |
Full Name | JORDAN TYLER CHAMBERS |
Other Name | J TYLER CHAMBERS |
Credential | ACNPC-AG |
Practice Address |
619 19th St S # Ohb251 Birmingham AL 35249-1932 |
Mailing Address |
Po Box 55310 Birmingham AL 35255-5310 |
Practice Telephone | 2059965111 |
Practice Fax Number | 2059307176 |
Mailing Telephone | 2057319701 |
Enumeration Date | 2018-12-17 |
Last Update Date | 2019-02-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-140593 | AL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
1-140593 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1-140593 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
619 19TH ST S # OHB251 |
City | BIRMINGHAM |
State | AL |
Zip Code | 35249-1932 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770070682 | Jordan Bauer | Student in an Organized Health Care Education/Training Program | 625 19 Street South, Birmingham, AL 35249 | 2018-04-16 |
1356847917 | Kathryn Leonards Sinquefield | Student in an Organized Health Care Education/Training Program | 625 19 Th Street South, Birmingham, AL 35249 | 2018-04-03 |
1285167288 | Lauren Marie Theiss | Student in an Organized Health Care Education/Training Program | 625 19th Street S, Birmingham, AL 35249 | 2017-04-06 |
1992159040 | Christopher Lee Anderson | Student in an Organized Health Care Education/Training Program | 625 19th St South, Birmingham, AL 35249 | 2016-04-14 |
1154715365 | Danielle Demontigny Avila | Internal Medicine | 625 19th St. South, Birmingham, AL 35249 | 2015-03-25 |
1417398033 | Rehan Ajmal Sarmad | Internal Medicine | 625 19th Street South Birmingham, Birmingham, AL 35249 | 2013-07-11 |
1760828560 | Diana Murro Lin | Pathology | 619 19th St S # Hsb130, Birmingham, AL 35249 | 2013-05-20 |
1982048476 | University of Alabama At Birmingham | General Acute Care Hospital | 1700 6th Ave South, Uab, Birmingham, AL 35249 | 2013-04-26 |
1255693149 | William M Perez | Obstetrics & Gynecology | 176f 10360d 619 19th Street South, Birmingham, AL 35249 | 2012-06-15 |
1942504642 | Melanie R. Sparks | Nurse Practitioner | 1700 6th Ave. South, Wic Suite 2342, Birmingham, AL 35249 | 2011-01-10 |
Find all providers in zip 35249 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780169037 | Kathleen Kimbrough Shields | Nurse Practitioner | 1201 11th Ave S Ste 305, Birmingham, AL 35205-3422 | 2018-10-02 |
1235635780 | Ruoting Wei | Nurse Practitioner | Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 | 2018-04-03 |
1326555780 | Brittany Michelle Bowen | Nurse Practitioner | 52 Medical Park Dr E Ste 307, Birmingham, AL 35235-3432 | 2018-01-08 |
1124489588 | Kristen Cravens | Nurse Practitioner | 1201 11th Ave South, Uab Highlands Hospital, Birmingham, AL 35205-3422 | 2016-03-14 |
1275132185 | Quintela Clopton | Nurse Practitioner | 216 Aquarius Dr Ste 306, Birmingham, AL 35209-5863 | 2020-10-21 |
1831718394 | Lauren M. Walley | Nurse Practitioner | 1 Perimeter Park S Ste 100n, Birmingham, AL 35243-3248 | 2020-04-14 |
1952952400 | Arthur M. Estoque | Nurse Practitioner | 1 Perimeter Park S Ste 100n, Birmingham, AL 35243-3248 | 2019-09-26 |
1932760105 | Esther Patterson Lange | Nurse Practitioner | 504 Brookwood Blvd, Birmingham, AL 35209-6802 | 2019-06-27 |
1831667997 | Lindsey M Gaither | Nurse Practitioner | 1 Independence Plz Ste 900, Birmingham, AL 35209-2643 | 2018-11-07 |
1467927848 | Jacob Ray | Nurse Practitioner | 833 Princeton Ave Sw Ste 200a, Birmingham, AL 35211-1321 | 2018-10-11 |
Find all providers in BIRMINGHAM |
City | BIRMINGHAM |
Zip Code | 35249 |
Please comment or provide details below to improve the information on JORDAN TYLER CHAMBERS.
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.