Individual provider Active NPI

Yazmine Jaquez, APRN, FNP-C

  • Family Nurse Practitioner
  • Scottsburg, IN
National Provider Identifier
1083215362
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015155 Issued in KY
Practice address
1467 Scott Valley Dr
Scottsburg, IN 47170-7795
Phone
(502) 287-6900
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3015155 KY Primary

Addresses

Primary practice location

1467 Scott Valley Dr
Scottsburg, IN 47170-7795

Mailing address

1467 Scott Valley Dr
Scottsburg, IN 47170-7795
Phone (502) 287-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Park Duvalle Community Health Center, Inc. CurrentSince Nov 9, 2020 Accepting new patients
Park Duvalle Community Health Center, Inc. Current Accepting new patients
Park Duvalle Community Health Center, Inc CurrentSince Nov 9, 2020 Accepting new patients

Locations

3828 Bardstown Rd
Louisville, KY 40218
Phone (502) 459-4900

3015 Wilson Ave
Louisville, KY 40211
Phone (502) 774-4401

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1083215362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 SCOTT VALLEY DR",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471707795",
            "telephone_number": "502-287-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 SCOTT VALLEY DR",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471707795",
            "telephone_number": "502-287-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAQUEZ",
        "first_name": "YAZMINE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsburg, IN

Sources for this page

Verify at the official NPI Registry.