Active NPI
Jonathan Embry
- Certified Registered Nurse Anesthetist
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3009933
- Practice address
- 1201 Pleasant Valley Rd
Owensboro, KY 42303-9811 - Phone
- (270) 417-2000
- NPI assigned
- Dec 18, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3009933 | KY | Primary |
Addresses
Primary practice location
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Mailing address
1211 Old Main St
Hartford, KY 42347-1619
Phone (270) 298-7411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3009933 | Other | KY | ADVANCED PRACTICE NURSING LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160106002175 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7719289818 | Reassigns benefits to 6 organizations |
| I20180322000397 | IN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7719289818 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ohio County Hospital CorporationAnesthesia Dynamics LLC
Practice addresses (Care Compare)
1211 Old Main St
Hartford, KY 42347-1619
Phone (270) 298-7411
217 S 3Rd St
Danville, KY 40422-1823
Phone (853) 893-1000
Hospital & facility affiliations
- Ohio County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio County Hospital Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Central Ohio Anesthesia LLC | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Commonwealth Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Kentucky, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ad of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Apollo Medical Group LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ohio County Hospital Corporation | Current | Accepting new patients | |
| Lifelinc Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Central Ohio Anesthesia, LLC | Past | Accepting new patients |
Locations
1276 N Plaza Dr
Rockport, IN 47635
Phone (812) 649-2500
8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185
425 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-3575
217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000
1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806
20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300
320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
225 Abraham Flexner Way
Ste 700
Louisville, KY 40202
Phone (502) 562-0398
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
Organizations & group practices 19
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.
-
- Certified Registered Nurse Anesthetist
- Hartford, KY
- NPI 1740812031
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Owensboro, KY
- NPI 1376415596
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1437196300
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1386938900
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1801021464
KY, Nurse Anesthetist, Certified Registered
-
- Community Based Hospice Care Agency
- Hartford, KY
- NPI 1255497574
-
- Medicare Defined Swing Bed Hospital Unit
- Hartford, KY
- NPI 1316979149
-
- Surgery Physician
- Hartford, KY
- NPI 1407049000
-
- Critical Access Hospital
- Hartford, KY
- NPI 1629007430
-
- Sleep Medicine (Internal Medicine) Physician
- Hartford, KY
- NPI 1720941321
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1306201223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 OLD MAIN ST",
"city": "HARTFORD",
"state": "KY",
"postal_code": "423471619",
"telephone_number": "270-298-7411",
"fax_number": "270-298-3824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 PLEASANT VALLEY RD",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423039811",
"telephone_number": "270-417-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMBRY",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-18",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3009933",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED PRACTICE NURSING LICENSE",
"identifier": "3009933",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.