Active NPI
Jennifer L Friend, MD
- Emergency Medicine Physician
- Campbellsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 31708
- Practice address
- 1700 Old Lebanon Rd
Campbellsville, KY 42718-9615 - Phone
- (270) 384-9491
- NPI assigned
- Jul 31, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 31708 | KY | Primary |
Addresses
Primary practice location
1700 Old Lebanon Rd
Campbellsville, KY 42718-9615
Mailing address
200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31708 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Taylor County Hospital District Health Facilities Corporation | Past | Accepting new patients | |
| Taylor County Hospital District Health Facilities Corporation | Past | Accepting new patients |
Locations
1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161
1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011
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.
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Emergency Medicine Physician
- Leitchfield, KY
- NPI 1649743667
-
- General Acute Care Hospital
- Campbellsville, KY
- NPI 1477757151
-
- Land Ambulance
- Campbellsville, KY
- NPI 1790652295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235145145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"address_2": "SUITE 201",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 OLD LEBANON RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427189615",
"telephone_number": "270-384-9491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEND",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "31708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.