Individual provider Active NPI

Jessica Minnick, AUD

  • Audiologist
  • Lexington, KY
National Provider Identifier
1255827788
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
260484 Issued in KY
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
260484OtherKYKY AUD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181031002407 SC Practitioner - Qualified Audiologist 6709139132 Reassigns benefits to 1 organization
I20191211001773 KY Practitioner - Qualified Audiologist 6709139132 Reassigns benefits to 3 organizations

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
University of KentuckyGroup PAC ID 3072425289, 778 clinicians

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

OrganizationSpecialtyStatusNew patients
Saint Joseph Health System Inc Audiologist CurrentSince Jun 1, 2020 Accepting new patients
Ear Nose and Throat Specialists PLLC CurrentSince Oct 14, 2019 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
Saint Joseph Health System, Inc. CurrentSince Jun 1, 2020 Accepting new patients
University of Kentucky CurrentSince Sep 20, 2023 Accepting new patients
Centa Medical Group PA CurrentSince Aug 28, 2018 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.