Organization Active NPI

Jarvis Family Medical Services

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1013468784
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007742 Issued in KY
Legal business name
JARVIS FAMILY MEDICAL SERVICES
Practice address
8134 New la Grange Rd Ste 100
Louisville, KY 40222-4677
Phone
(502) 822-3659
Fax
(502) 709-4637
NPI assigned
Oct 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Renee Whiting, CPC, CPC-I
Title
Credentialing Coordinator
Phone
(859) 539-2466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 3007742 KY Primary

Addresses

Primary practice location

8134 New la Grange Rd Ste 100
Louisville, KY 40222-4677

Mailing address

8134 New la Grange Rd Ste 100
Louisville, KY 40222-4677
Phone (502) 822-3659

National Provider Directory

National Provider Directory

Locations

912 Lily Creek Rd
Ste 200201
Louisville, KY 40243

912 Lily Creek Rd
Louisville, KY 40243
Phone (502) 338-0608

8134 New La Grange Rd
Ste 100
Louisville, KY 40222
Phone (502) 767-0415

912 Lily Creek Rd
Ste 200
Louisville, KY 40243
Phone (502) 822-3656

912 Lily Creek Rd
#201
Louisville, KY 40243
Phone (502) 338-0608

1582 Hill St
Radcliff, KY 40160
Phone (502) 822-3659

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20177/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1013468784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8134 NEW LA GRANGE RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224677",
            "telephone_number": "502-822-3659",
            "fax_number": "502-709-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8134 NEW LA GRANGE RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224677",
            "telephone_number": "502-822-3659",
            "fax_number": "502-709-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARVIS FAMILY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "WHITING",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "859-539-2466",
        "authorized_official_credential": "CPC, CPC-I"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.