Active NPI
Jessica Marie Stone, PA-C
- Physician Assistant
- Louisville, KY
National Provider Identifier
1104401355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TC146
- Practice address
- 411 E Chestnut St # 5a
Louisville, KY 40202-1713 - Phone
- (502) 588-7450
- Fax
- (502) 588-7728
- NPI assigned
- Mar 9, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | TC146 | KY | Primary |
Addresses
Primary practice location
411 E Chestnut St # 5a
Louisville, KY 40202-1713
Mailing address
PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490
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
Interoperability endpoints
- jstone190529@direct.nortonhealthcare.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1104401355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776879",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776879",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E CHESTNUT ST # 5A",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021713",
"telephone_number": "502-588-7450",
"fax_number": "502-588-7728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "JESSICA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-09",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.