Individual provider

Jeremy Jordan, CRNP, CPNP-AC

Critical Care Pediatric Nurse Practitioner Registered Nurse Pediatric Nurse Practitioner

Jeremy Jordan, CRNP, CPNP-AC is a Critical Care Pediatric Nurse Practitioner in Birmingham, AL, registered under NPI 1417348905. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1600 7TH AVE S CPPI 102, Birmingham, AL 35233. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1600 7TH AVE S CPPI 102, Birmingham, AL 35233 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
1-135633 AL Critical Care Pediatric Nurse Practitioner primary
1-136533 AL Registered Nurse
1-136533 AL Pediatric Nurse Practitioner

This provider holds licence 1-135633 issued in AL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Pediatrics, Critical Care covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0222X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Pediatrics, Critical Care

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LP0222X Critical Care Pediatric Nurse Practitioner Pediatrics, Critical Care 1-135633 AL primary
163W00000X Registered Nurse 1-136533 AL
363LP0200X Pediatric Nurse Practitioner Pediatrics 1-136533 AL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417348905 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 5, 2015
Last updatedDec 11, 2017
StatusActive
Sole proprietorNo
CredentialCRNP, CPNP-AC
Practice address 1600 7TH AVE S
CPPI 102
Birmingham, AL 35233
(205) 638-3400
Mailing address 1720 2ND AVE S # NB308
Birmingham, AL 35294
This record was last updated on Dec 11, 2017, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1417348905 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 3 4 8 9 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 6 4 7 9 0

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417348905?
NPI 1417348905 is the National Provider Identifier assigned to Jeremy Jordan, CRNP, CPNP-AC in Birmingham, AL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatrics, Critical Care cover?
Definition to come...
How do I contact Jeremy Jordan, CRNP, CPNP-AC?
The phone number on file with NPPES is (205) 638-3400, last updated Dec 11, 2017. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1417348905 a valid number?
Yes. 1417348905 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.