Active NPI
Jill Kio, NP
- Nurse Practitioner
- Grayson, KY
National Provider Identifier
1265441778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4760P
- Practice address
- 710 N Carol Malone Blvd
Grayson, KY 41143-1126 - Phone
- (606) 474-0669
- Fax
- (606) 474-0376
- NPI assigned
- Aug 5, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4760P | KY | Primary |
Addresses
Primary practice location
710 N Carol Malone Blvd
Grayson, KY 41143-1126
Mailing address
710 N Carol Malone Blvd
Grayson, KY 41143-1126
Phone (606) 474-0669
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4760P | Other | KY | STATE LICENSE |
| 000000383612 | Other | KY | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4760P | KY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1265441778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 N CAROL MALONE BLVD",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411431126",
"telephone_number": "606-474-0669",
"fax_number": "606-474-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 N CAROL MALONE BLVD",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411431126",
"telephone_number": "606-474-0669",
"fax_number": "606-474-0376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIO",
"first_name": "JILL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "4760P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4760P",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000000383612",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grayson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.