Adena Carol Justice

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1116 Broadleaf Rd
Louisa, KY 41230-6017

Phone

(606) 205-7385

Fax

(606) 433-9690

NPI assigned

Nov 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1295916534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 BROADLEAF RD",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412306017",
            "telephone_number": "606-205-7385",
            "fax_number": "606-433-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 BROADLEAF RD",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412306017",
            "telephone_number": "606-205-7385",
            "fax_number": "606-433-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "ADENA",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Jude
• Jamie Jude
• Jennifer Jude, PMHNP
• Phillip Michael Jude, PSS
• Troy Anthony Jupiter, PSS
• Andrew Justice
• Jessica Justice, PSS
• Matthew Christopher Justice, PSS
• Addy Renee Kareken
• Paige Makenzy Kassinger, PSS

• Community Health Worker in Louisa, KY
• Providers in Louisa, KY by specialty
• Community Health Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.