Active NPI
Mary Jane Doyle, APRN
- Family Nurse Practitioner
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3005493
- Practice address
- 3101 Richmond Rd
Lexington, KY 40509-1599 - Phone
- (859) 268-9866
- NPI assigned
- Jan 8, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3005493 | KY | Primary |
Addresses
Primary practice location
3101 Richmond Rd
Lexington, KY 40509-1599
Mailing address
2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200
Other practice location 1
890 Richmond Plz
Richmond, KY 40475-2564
Phone (859) 623-5155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100343190 | Other | KY | MEDICAID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Keystone Dr
Suite 5
Richmond, KY 40475-7988
Phone (859) 353-8884
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ky Urgent Care Center Inc | Family | Current | Accepting new patients |
Locations
295 Paint Lick Rd
Berea, KY 40403
Phone (859) 353-8884
1100 Richmond Rd
Irvine, KY 40336
Phone (606) 723-7706
103 Keystone Dr
Ste 5
Richmond, KY 40475
Phone (859) 353-8884
Interoperability endpoints
- https://api.platform.athenahealth.com/16909/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1205885035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1114075835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 ELM HILL PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143108",
"telephone_number": "615-425-4200",
"fax_number": "615-891-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 RICHMOND RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091599",
"telephone_number": "859-268-9866"
}
],
"practiceLocations": [
{
"address_1": "890 Richmond Plz",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "KY",
"postal_code": "404752564",
"country_code": "US",
"telephone_number": "859-623-5155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOYLE",
"first_name": "MARY",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3005493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "7100343190",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.