Individual provider Active NPI

Denise Jones, DNP

  • Adult Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1013590702
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3015973 Issued in KY
Practice address
120 Prosperous PL Ste 102
Lexington, KY 40509-1866
Phone
(859) 264-1815
Fax
(859) 264-1820
NPI assigned
Apr 30, 2021
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3015973 KY Primary
Gerontology Nurse Practitioner 363LG0600X 3015973 KY

Addresses

Primary practice location

120 Prosperous PL Ste 102
Lexington, KY 40509-1866

Mailing address

120 Prosperous PL Ste 102
Lexington, KY 40509-1866
Phone (859) 264-1815

Other identifiers 1

IdentifierTypeStateIssuer
7100883500MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230427001172 KY Practitioner - Nurse Practitioner 4688039530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Sleep and Rehab, PLLCGroup PAC ID 1052402260, 4 clinicians

Practice addresses (Care Compare)

150 N Eagle Creek Dr
FL 2
Lexington, KY 40509-1805
Phone (859) 967-5309

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3015973KYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Sleep and Rehab, PLLC Adult Health CurrentSince Dec 1, 2024 Accepting new patients
Centerwell Senior Primary Care Ky PSC CurrentSince May 15, 2023 Accepting new patients
Centerwell Senior Primary Care (Ky) PSC CurrentSince May 15, 2023 Accepting new patients

Locations

120 Prosperous Pl
Ste 102
Lexington, KY 40509
Phone (859) 264-1815

150 N Eagle Creek Dr
Fl 2
Lexington, KY 40509
Phone (859) 967-5309

3101 Richmond Rd
Ste 190
Lexington, KY 40509
Phone (859) 309-7613

3151 S 2nd St
Louisville, KY 40208
Phone (502) 632-9313

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1013590702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PROSPEROUS PL STE 102",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091866",
            "telephone_number": "859-264-1815",
            "fax_number": "859-264-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PROSPEROUS PL STE 102",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091866",
            "telephone_number": "859-264-1815",
            "fax_number": "859-264-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3015973",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3015973",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100883500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.