Active NPI
Jessica Minnick, AUD
- Audiologist
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 260484
- Practice address
- 740 S Limestone St Ste C300
Lexington, KY 40536-1688 - Phone
- (859) 257-3390
- Fax
- (859) 323-5483
- NPI assigned
- Jul 9, 2018
- Last updated
- Sep 20, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | NU | ||
| Audiologist | 231H00000X | 260484 | KY | Primary |
Addresses
Primary practice location
740 S Limestone St Ste C300
Lexington, KY 40536-1688
Mailing address
157 Corley Mill Rd
Lexington, SC 29072-7600
Other practice location 1
1406 W 5th St Ste 1
London, KY 40741-1688
Phone (606) 877-4579
Other practice location 2
157 Corley Mill Rd
Lexington, SC 29072-7600
Phone (803) 520-5455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260484 | Other | KY | KY AUD LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, KY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
740 S Limestone St
Lexington, KY 40508-0001
Phone (859) 233-5950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Health System Inc | Audiologist | Current | Accepting new patients |
| Ear Nose and Throat Specialists PLLC | Current | Accepting new patients | |
| Neurosurgical Associates PSC | Current | Accepting new patients | |
| Saint Joseph Health System, Inc. | Current | Accepting new patients | |
| University of Kentucky | Current | Accepting new patients | |
| Centa Medical Group PA | Current | Accepting new patients | |
| University of Kentucky | Past | Accepting new patients |
Locations
305 Estill St
Berea, KY 40403
Phone (859) 986-1415
279 Kings Daughters Dr
Ste 202
Frankfort, KY 40601
Phone (502) 226-6494
120 N Eagle Creek Dr
Ste 102
Lexington, KY 40509
Phone (606) 877-4579
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
1025 Saint Joseph Ln
London, KY 40741
Phone (606) 330-2370
1406 W 5th St
Ste 1
London, KY 40741
Phone (606) 877-4579
157 Corley Mill Rd
Lexington, SC 29072
Phone (803) 256-2483
Interoperability endpoints
- jessicaminnick@kysjhspe.allscriptsdirect.net
Organizations & group practices 7
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.
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Otolaryngology Physician
- Georgetown, KY
- NPI 1154331387
-
dba Saint Joseph ENT Center
- Otolaryngology Physician
- London, KY
- NPI 1134553902
Audiologist
-
- Otolaryngology Physician
- Lexington, SC
- NPI 1881626133
-
- Neurological Surgery Physician
- Lexington, KY
- NPI 1235110925
-
dba Saint Joseph Primary Care Associates Corbin - RHC
- Rural Health Clinic/Center
- Corbin, KY
- NPI 1285301234
-
- Psychiatric Hospital Unit
- Lexington, KY
- NPI 1821130741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1255827788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 CORLEY MILL RD",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290727600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 S LIMESTONE ST STE C300",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405361688",
"telephone_number": "859-257-3390",
"fax_number": "859-323-5483"
}
],
"practiceLocations": [
{
"address_1": "1406 W 5th St Ste 1",
"address_purpose": "LOCATION",
"city": "London",
"state": "KY",
"postal_code": "407411688",
"country_code": "US",
"telephone_number": "606-877-4579",
"fax_number": "606-330-6711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "157 Corley Mill Rd",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "SC",
"postal_code": "290727600",
"country_code": "US",
"telephone_number": "803-520-5455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINNICK",
"first_name": "JESSICA",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "260484",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY AUD LICENSE",
"identifier": "260484",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.