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Individual provider Active NPI

Beverly Annett Jones, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Fredonia, KY
National Provider Identifier
1194716167
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1776P Issued in KY
Practice address
700 Cassidy Ave
Fredonia, KY 42411-9207
Phone
(270) 545-3386
Fax
(270) 545-3712
NPI assigned
Oct 31, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1776P KY
Family Nurse Practitioner 363LF0000X 1776P KY Primary

Addresses

Primary practice location

700 Cassidy Ave
Fredonia, KY 42411-9207

Mailing address

PO Box 195
700 Cassidy Avenue
Fredonia, KY 42411-0195
Phone (270) 545-3386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908000407 KY Practitioner - Nurse Practitioner 9830165166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

520 W Gum St
Marion, KY 42064-1516
Phone (270) 965-1042

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1776PKYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crittenden Community Hospital LLC CurrentSince Mar 1, 2022 Accepting new patients
Purchase District Health Dept CurrentSince Jul 1, 2017 Accepting new patients
Crittenden County Hospital Current Accepting new patients
Crittenden Community Hospital LLC CurrentSince Mar 1, 2022 Accepting new patients
Purchase District Health Dept CurrentSince Jul 1, 2017 Accepting new patients
Family Practice Clinic PSC Family Current Accepting new patients
Purchase District Health Dept Current Accepting new patients
Crittenden Community Hospital LLC Past Accepting new patients
Purchase District Health Department Past Accepting new patients
Family Practice Care LLC Family Past Accepting new patients
Crittenden Community Hospital LLC Past Accepting new patients

Locations

370 S Washington St
Clinton, KY 42031
Phone (270) 653-6110

21234 Marion Rd
Fredonia, KY 42411
Phone (270) 545-2929

700 Cassidy Ave
Fredonia, KY 42411
Phone (270) 545-3386

350 Browder St
Fulton, KY 42041
Phone (270) 472-1982

402 Troy Ave
Hickman, KY 42050
Phone (270) 236-2825

518 W Gum St
Marion, KY 42064
Phone (270) 965-5238

916 Kentucky Ave
Paducah, KY 42003
Phone (270) 444-9625

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/critten-2b2d21fb

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1194716167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "address_2": "700 CASSIDY AVENUE",
            "city": "FREDONIA",
            "state": "KY",
            "postal_code": "424110195",
            "telephone_number": "270-545-3386",
            "fax_number": "270-545-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CASSIDY AVE",
            "city": "FREDONIA",
            "state": "KY",
            "postal_code": "424119207",
            "telephone_number": "270-545-3386",
            "fax_number": "270-545-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BEVERLY",
        "middle_name": "ANNETT",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "1776P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1776P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredonia, KY

Sources for this page

Verify at the official NPI Registry.