Individual provider Active NPI

Jessica L. Loveday, PA-C

  • Physician Assistant
  • Bristol, VA
National Provider Identifier
1386122901
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110-006524 Issued in VA
Practice address
21371 Forsythe Rd
Bristol, VA 24202-4357
Phone
(276) 525-4377
NPI assigned
Aug 6, 2018
Last updated
Mar 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2327 KY
Physician Assistant 363A00000X 0110-006524 VA Primary

Addresses

Primary practice location

21371 Forsythe Rd
Bristol, VA 24202-4357

Mailing address

21371 Forsythe Rd
Bristol, VA 24202-4357
Phone (276) 525-4377

Other practice location 1

6400 Dutchmans Pkwy Ste 60
Louisville, KY 40205-3341
Phone (502) 423-1021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3655TNMDClinical Psychologist
0110-006524VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Integrated Medical & Sports Health, LLC CurrentSince Oct 20, 2021 Accepting new patients
Muncy Spinal Institute LLC Past Accepting new patients

Locations

300 Moore St
Ste B
Bristol, VA 24201
Phone (276) 591-5448

Organizations & group practices 2

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1386122901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21371 FORSYTHE RD",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242024357",
            "telephone_number": "276-525-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21371 FORSYTHE RD",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242024357",
            "telephone_number": "276-525-4377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 Dutchmans Pkwy Ste 60",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402053341",
            "country_code": "US",
            "telephone_number": "502-423-1021",
            "fax_number": "502-423-1416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVEDAY",
        "first_name": "JESSICA",
        "middle_name": "L.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2327",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-006524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

Verify at the official NPI Registry.