Jennifer Richards Clark, APRN
Individual provider Active NPI Family Nurse Practitioner · Frenchburg, KY
NPI 1154844678 · NPPES record last updated Mar 21, 2019
Key facts
- NPI
- 1154844678
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3011173 (KY)
- Practice address
- 784 Highway 36
Frenchburg, KY 40322-8123 - Phone
- (606) 768-9190
- Fax
- (606) 768-9180
- NPI assigned
- Jul 18, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mt Sterling Clinic PLLC
Practice addresses (Care Compare)
100 Sterling Way
Mt Sterling, KY 40353-1176
Phone (859) 498-0200
Hospital & facility affiliations
- Saint Joseph Mount Sterling
- Clark Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170815004271 | KY | Practitioner - Nurse Practitioner | 7618249335 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3011173 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Kentucky, PLLC | Current |
Accepting new patients | |
| Davanand Doodnauth,M.D., PSC | Current |
Accepting new patients | |
| Mt. Sterling Clinic, PLLC. | Current |
Accepting new patients | |
| Fast Pace Kentucky PLLC | Family | Current |
Accepting new patients |
Locations
1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111
1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000
895 N Main St
Monticello, KY 42633
Phone (606) 396-3006
100 Sterling Way
Ste 1
Mt Sterling, KY 40353
Phone (859) 498-0200
Interoperability endpoints
- jennifer.clark.1@26633.direct.athenahealth.com
- https://api.platform.athenahealth.com/26633/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3011173 | KY | Yes |
Addresses
Primary practice location
784 Highway 36
Frenchburg, KY 40322-8123
Mailing address
784 Highway 36
Frenchburg, KY 40322-8123
Phone (606) 768-9190
Other practice location 1
17 Miller Dr
Owingsville, KY 40360-2212
Phone (606) 674-3033
Other practice location 2
638 E College Ave Ste B
Stanton, KY 40380-2363
Phone (606) 318-3500
Other practice location 3
125 Foxglove Dr Ste D
MT Sterling, KY 40353-9735
Phone (859) 498-3333
Other practice location 4
895 N Main St
Monticello, KY 42633-1580
Phone (859) 000-0000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3011173 | Other | KY | APRN LICENSE |
Other names
- Jennifer Hunt
Other providers in Frenchburg, KY
- Esther Campbell
- Abigale Cantrell
- Tatiana Cardoso
- Rhea Caudill
- William Chapman
- Community Family Clinic PLLC
- Community Family Clinic-School LLC
- Morgan Craft
- Phyllis Crockett
- Leanna Daniel
All providers in Frenchburg, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.