Active NPI
Jessica Nicole King
- Family Nurse Practitioner
- Corydon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71009399A
- Practice address
- 1141 Hospital Dr NW
Corydon, IN 47112-1774 - Phone
- (812) 738-4251
- NPI assigned
- Jul 16, 2019
- 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 | 71009399A | IN | Primary |
Addresses
Primary practice location
1141 Hospital Dr NW
Corydon, IN 47112-1774
Mailing address
1141 Hospital Dr NW
Corydon, IN 47112-1774
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
411 E Chestnut St
5A
Louisville, KY 40202-1713
Phone (502) 588-7450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71009399A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Children's Medical Group, LLC | Current | Accepting new patients | |
| Norton Children's Medical Group, LLC | Family | Current | Accepting new patients |
| Norton Children's Medical Group, LLC | Current | Accepting new patients | |
| Norton Childrens Medical Group, LLC | Family | Past | Accepting new patients |
Locations
1858 Old Lebanon Rd
Campbellsville, KY 42718
Phone (270) 465-0632
1 Trillium Way
Ste 306
Corbin, KY 40701
411 E Chestnut St
#5A
Louisville, KY 40202
Phone (502) 588-2349
1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874
Interoperability endpoints
- jking195009@direct.nortonhealthcare.org
Organizations & group practices 4
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.
-
dba Norton Children's Behavioral and Mental Health
- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
-
dba Norton Children's Radiologists
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
-
- Pediatric Cardiology Physician
- Louisville, KY
- NPI 1710528336
Family
-
dba Norton Children's Medical Group
- Pediatrics Physician
- Louisville, KY
- NPI 1326695255
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1124671490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 HOSPITAL DR NW",
"city": "CORYDON",
"state": "IN",
"postal_code": "471121774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 HOSPITAL DR NW",
"city": "CORYDON",
"state": "IN",
"postal_code": "471121774",
"telephone_number": "812-738-4251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71009399A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corydon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.