Jessica Lynn Pfoutz

Primary specialty

DriverTaxonomy code 172A00000X

License

SX612097 Issued in OH

Practice address

121 N Main St
Covington, OH 45318-1317

Phone

(937) 214-0315

NPI assigned

Sep 18, 2025

Last updated

Sep 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1063384261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N MAIN ST",
            "city": "COVINGTON",
            "state": "OH",
            "postal_code": "453181317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N MAIN ST",
            "city": "COVINGTON",
            "state": "OH",
            "postal_code": "453181317",
            "telephone_number": "937-214-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFOUTZ",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": "SX612097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miami Cov SNF, Inc.
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• Jessica Amy Moses, LPN
• Kimberly Sue Noll, LMT
• Brian John Olson, D.C.
• Brent D Phillips, R.PH.
• Kathy S Phipps, LCDCIII
• Manda Kristin Plessinger
• Alexy Pridemore
• Heather M Ray, RN, MSN CNP

• Driver in Covington, OH
• Providers in Covington, OH by specialty
• Driver in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.