Individual provider Active NPI

Jennifer Jane Cox Stutterheim, CRNA

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1023240827
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3006221 Issued in KY
Practice address
320 Whittington Pkwy
Suite 301
Louisville, KY 40222-4928
Phone
(502) 625-5584
Fax
(502) 426-2264
NPI assigned
Aug 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1100348 KY
Certified Registered Nurse Anesthetist 367500000X 3006221 KY Primary

Addresses

Primary practice location

320 Whittington Pkwy
Suite 301
Louisville, KY 40222-4928

Mailing address

320 Whittington Pkwy
Suite 301
Louisville, KY 40222-4928
Phone (502) 625-5584

Other names 1

  • Jennifer Jane Cox Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091210000064 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204975998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiology Consultants Enterprises PLLCGroup PAC ID 9830268671, 124 clinicians
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (859) 268-1030

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1100348KYMDRegistered Nurse
3006221KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 26, 2018 Accepting new patients
One Anesthesia PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
U S Anesthesia Partners of Kentucky PSC Nurse Anesthetist, Certified Registered PastSince Jul 1, 2023 Accepting new patients

Locations

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

Organizations & group practices 4

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

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1023240827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WHITTINGTON PKWY",
            "address_2": "SUITE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224928",
            "telephone_number": "502-625-5584",
            "fax_number": "502-426-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WHITTINGTON PKWY",
            "address_2": "SUITE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224928",
            "telephone_number": "502-625-5584",
            "fax_number": "502-426-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX STUTTERHEIM",
        "first_name": "JENNIFER",
        "middle_name": "JANE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1100348",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3006221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COX",
            "middle_name": "JANE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.