JILLIAN M KINZEL (NPI# 1861769572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861769572 |
| Entity Type | Individual |
| Full Name | JILLIAN M KINZEL |
| Credential | PA |
| Practice Address |
3601 Cci Dr Nw Huntsville AL 35805-2606 |
| Mailing Address |
Po Box 18428 Huntsville AL 35804-8428 |
| Practice Telephone | 2567054224 |
| Practice Fax Number | 2567054135 |
| Mailing Telephone | 2567054224 |
| Mailing Fax Number | 2567054135 |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2016-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA939 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 002675 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3601 CCI DR NW |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35805-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083693154 | Marshall T Schreeder | Internal Medicine | 3601 Cci Dr Nw, Huntsville, AL 35805-2606 | 2006-01-17 |
| 1558998625 | Sarah Wilson | Nurse Practitioner | 3601 Cci Dr Nw, Huntsville, AL 35805-2606 | 2020-03-26 |
| 1780217638 | Ann Sisson | Physician Assistant | 3601 Cci Dr Nw, Huntsville, AL 35805-2606 | 2020-02-19 |
| 1578100442 | Jennifer Bunn | Nurse Practitioner | 3601 Cci Dr Nw, Huntsville, AL 35805-2606 | 2019-12-10 |
| 1164068235 | Jessica Jordan | Registered Nurse | 3601 Cci Dr Nw, Huntsville, AL 35805-2606 | 2019-11-22 |
| 1467962472 | Tracie Thornton | Nurse Practitioner | 3601 Cci Dr Nw, Huntsville, AL 35805-2606 | 2017-10-04 |
| 1700274560 | Meghan Foster | Physician Assistant | 3601 Cci Dr Nw, Huntsville, AL 35805-2606 | 2015-01-02 |
| 1316366867 | Mary Elizabeth Bartlett | Nurse Practitioner | 3601 Cci Dr Nw, Huntsville, AL 35805-2606 | 2014-04-14 |
| 1548695901 | Oncology Specialties, P.C. | Pharmacy | 3601 Cci Dr Nw, Huntsville, AL 35805-2606 | 2013-09-04 |
| 1679850135 | Todd Murphree | Pharmacist | 3601 Cci Dr Nw, Huntsville, AL 35805-2606 | 2011-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373264 | Kreative Kare In Home Services Inc | Driver | 2905 Westcorp Blvd Suite 213-d, Huntsville, AL 35805 | 2019-12-20 |
| 1871015479 | Kathryn Renee Garcia | Nurse Practitioner | 2806 Artie Street Sw, Unit 3, Huntsville, AL 35805 | 2017-07-14 |
| 1356885362 | Valley Spine and Pain LLC | Physical Medicine & Rehabilitation | 2227 Drake Ave Sw Ste 7b, Huntsville, AL 35805 | 2016-12-09 |
| 1518325612 | Candace Ann Hatcher | Speech-Language Pathologist | 411 Mcallister Drive Sw, Huntsville, AL 35805 | 2016-02-03 |
| 1073799862 | Landmark Chiropractic, Inc. | Chiropractor | 2400 Bob Wallas Avenue, Suite 101, Huntsville, AL 35805 | 2008-01-11 |
| 1245431501 | Sean Patrick Wallis | Chiropractor | 2915 Bob Wallace Ave Sw, Suite B, Huntsville, AL 35805 | 2007-05-31 |
| 1194937862 | Sara Mirza | Family Medicine | 500 Markaview Rd. Nw, Huntsville, AL 35805 | 2007-05-04 |
| 1548308679 | Claudia Elisabetta Agnew | Physician Assistant | 3601 Cci Dr., Huntsville, AL 35805 | 2007-02-01 |
| 1376613745 | North Alabama Pet Scan LLC | Radiologic Technologist | 3601 Cci Drive Nw, Huntsville, AL 35805 | 2006-11-09 |
| 1821028325 | Tracy Glen Bagwell | Chiropractor | 2227 Drake Avenue, Suite 13, Huntsville, AL 35805 | 2006-07-03 |
| Find all providers in zip 35805 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170189 | Emily Klae Carnes | Physician Assistant | 102 Breezy Pointe Ln, Huntsville, AL 35811-4604 | 2020-09-28 |
| 1144880774 | Anna Summerford | Physician Assistant | 7738b Madison Blvd, Huntsville, AL 35806-3659 | 2019-06-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| 1891154894 | Nicolaus D Ruehl | Physician Assistant | 1963 Memorial Pkwy Sw Ste 24, Huntsville, AL 35801-5035 | 2016-02-18 |
| 1992194294 | Jacob Downey Dobbs | Physician Assistant | 13310 S Village Square Rd Se, Huntsville, AL 35803-3813 | 2015-01-09 |
| 1639575939 | Joseph Curry | Physician Assistant | 21 Fm 247 Rd, Huntsville, TX 77320-8701 | 2014-11-13 |
| 1164705513 | Besstina Lyles | Physician Assistant | 2227 Drake Ave Sw Ste 26, Huntsville, AL 35805-5146 | 2011-09-22 |
| 1174833107 | Whitaker Medical | Physician Assistant | 525 Madison St Se, Suite 203, Huntsville, AL 35801-4268 | 2010-10-08 |
| 1548308679 | Claudia Elisabetta Agnew | Physician Assistant | 3601 Cci Dr., Huntsville, AL 35805 | 2007-02-01 |
| 1730273673 | Mindy Smith Wilson | Physician Assistant | 1404 Toney Dr Se, Huntsville, AL 35802-1231 | 2006-10-03 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35805 |
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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.