Individual provider Active NPI

Jennifer Bond, APRN

  • Family Nurse Practitioner
  • Carlisle, KY
National Provider Identifier
1093070914
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007545 Issued in KY
Practice address
107 S Broadway St
Carlisle, KY 40311-1150
Phone
(859) 289-4124
Fax
(859) 289-4126
NPI assigned
Jul 6, 2012
Last updated
Nov 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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 3007545 KY Primary

Addresses

Primary practice location

107 S Broadway St
Carlisle, KY 40311-1150

Mailing address

107 S Broadway St
Carlisle, KY 40311-1150
Phone (859) 289-4124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130424001057 KY Practitioner - Nurse Practitioner 6204072960 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3007545KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Mso LLC Family Current Accepting new patients
Lexington Urgent Care PLLC CurrentSince Apr 1, 2013 Accepting new patients
Bourbon Physician Practice LLC Family CurrentSince Oct 20, 2014 Accepting new patients
Kentucky Mso LLC CurrentSince Jun 2, 2015 Accepting new patients
Kentucky Mso LLC CurrentSince Jun 2, 2015 Accepting new patients
Bourbon Physician Practice LLC CurrentSince Oct 20, 2014 Accepting new patients
Norton Scott Physician Practices, LLC Family Past Accepting new patients
Bourbon Physician Practice LLC Family Past Accepting new patients

Locations

107 S Broadway St
Carlisle, KY 40311
Phone (606) 289-4124

1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

1140 Lexington Rd
Ste 105
Georgetown, KY 40324
Phone (502) 868-5660

1701 Nicholasville Rd
Ste 100
Lexington, KY 40503
Phone (859) 466-8956

22 Clinic Dr
Paris, KY 40361
Phone (859) 987-0074

370 Amsden Ave
Ste 504
Versailles, KY 40383
Phone (859) 879-2419

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19475/brand/10/csg/41/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: jennifer.bond.2@14940.direct.athenahealth.com

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1093070914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S BROADWAY ST",
            "city": "CARLISLE",
            "state": "KY",
            "postal_code": "403111150",
            "telephone_number": "859-289-4124",
            "fax_number": "859-289-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S BROADWAY ST",
            "city": "CARLISLE",
            "state": "KY",
            "postal_code": "403111150",
            "telephone_number": "859-289-4124",
            "fax_number": "859-289-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, KY

Sources for this page

Verify at the official NPI Registry.