Jacqueline K Cropper, APRN, IBCLC, PMH-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3014655 Issued in KY

Practice address

400 E Main Ave Ste 309
Bowling Green, KY 42101-6900

Phone

(270) 697-9174

Fax

(270) 906-9136

NPI assigned

Nov 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• The Kindred Village, LLC

  • Clinic/Center
  • Bowling Green, KY
  • NPI 1356069751
  NPD Authorized official

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1194360446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E MAIN AVE STE 309",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421016900",
            "telephone_number": "270-697-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN AVE STE 309",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421016900",
            "telephone_number": "270-697-9174",
            "fax_number": "270-906-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROPPER",
        "first_name": "JACQUELINE",
        "middle_name": "K",
        "credential": "APRN, IBCLC, PMH-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "KY",
            "license": "L-47082",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28172",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Crews
• Pamela Crisp, AUD
• Ashley Brooke Crocker, RN, MSN, FNP-BC
• Melissa M Crocker, PA-C
• Debra Cromwell, BHS II
• Makaylee Cross
• Megan Nichole Cross, M.A. CCC-SLP
• Aneisha Selene Crossbourne, MBBS
• Brian Daniel Crosser, MD
• Crossland Community Baptist Church, Inc.

• Family Nurse Practitioner in Bowling Green, KY
• Providers in Bowling Green, 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 May 27, 2024; 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.