Peter Jager, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3011367 Issued in KY

Practice address

1 Medical Village Dr
Edgewood, KY 41017

Phone

(859) 301-2000

NPI assigned

Apr 24, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534550400000",
    "number": "1134617285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 LOWER TUG FORK RD",
            "city": "MELBOURNE",
            "state": "KY",
            "postal_code": "410598266",
            "telephone_number": "859-750-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-301-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGER",
        "first_name": "PETER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "3011367",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Ronald Jackson, M.D.
• Melanie Jacobs, MD
• Nathan Jacobs, NP
• Paul Allen Jacobs, M.D.
• Sudha Prasad Jaganathan, MD
• James Allen Jagger, M.D.
• Jeffrey Thomas Janning, MD
• Alexandra Kathlyn Janszen, WHNP-BC
• Amanda Michelle Janszen, PT
• Ashok P Jarkani, M.D.

• Family Nurse Practitioner in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.