Jerelynn D Fortney, MS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

101 Issued in KY

Practice address

2505 Larkin Road
Suite #104
Lexington, KY 40503-3256

Phone

(859) 278-7171

Fax

(859) 278-6503

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043432149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 LARKIN ROAD",
            "address_2": "SUITE #104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033256",
            "telephone_number": "859-278-7171",
            "fax_number": "859-278-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 LARKIN ROAD",
            "address_2": "SUITE #104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033256",
            "telephone_number": "859-278-7171",
            "fax_number": "859-278-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNEY",
        "first_name": "JERELYNN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Walter Forster, MD
• Laura Allen Forster, M.D.
• Regina E Forster, MD
• Kristy Forsythe Chandler, PA-C
• Patience Nave Fort, RPH
• Mary Elizabeth Foss, DPT
• Destinee Paige Fossier
• Kevin Anthony Fosso, PHARM.D.
• Anna Caroline Foster, BSW
• Dana L. Foster, PHARM.D.

• Psychologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.