Active NPI
Jenna Sigmon McCracken, PA-C
- Medical Physician Assistant
- Irvine, KY
National Provider Identifier
1083941918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1222
- Practice address
- 62 Mercy CT
Irvine, KY 40336-1331 - Phone
- (606) 723-5142
- Fax
- (606) 723-3798
- NPI assigned
- Nov 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1222 | KY | Primary |
Addresses
Primary practice location
62 Mercy CT
Irvine, KY 40336-1331
Mailing address
62 Mercy CT
P.O. Box 908
Irvine, KY 40336-1331
Phone (606) 723-5142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1222 | KY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1083941918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 MERCY CT",
"address_2": "P.O. BOX 908",
"city": "IRVINE",
"state": "KY",
"postal_code": "403361331",
"telephone_number": "606-723-5142",
"fax_number": "606-723-3798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 MERCY CT",
"city": "IRVINE",
"state": "KY",
"postal_code": "403361331",
"telephone_number": "606-723-5142",
"fax_number": "606-723-3798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRACKEN",
"first_name": "JENNA",
"middle_name": "SIGMON",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-13",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KY",
"license": "PA1222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.