Individual provider Active NPI

Jamie Dawn Blakeman, ARNP

  • Family Nurse Practitioner
  • Greensburg, KY
National Provider Identifier
1386635613
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3267P Issued in KY
Practice address
426 Commerce Drive
Greensburg, KY 42743
Phone
(270) 932-2424
Fax
(270) 932-2522
NPI assigned
Nov 4, 2005
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3267P KY Primary

Addresses

Primary practice location

426 Commerce Drive
Greensburg, KY 42743

Mailing address

1698 Old Lebanon Rd
Campbellsville, KY 42718-3319
Phone (270) 405-3270

Other practice location 1

1911 Campbellsville Rd Ste B
Greensburg, KY 42743-7758
Phone (270) 932-2140

Other identifiers 2

IdentifierTypeStateIssuer
78004439MedicaidKY
11221412OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000383 KY Practitioner - Nurse Practitioner 6800882903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Regional Medical Group LLCGroup PAC ID 4880616622, shared by 4 NPIs, 60 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

102 Rhodes St
Gamaliel, KY 42140-8942
Phone (270) 457-3000

1911 Campbellsville Rd
Greensburg, KY 42743-7758
Phone (270) 465-2116

360 Keen St
Burkesville, KY 42717-7915
Phone (270) 864-2889

792 Campbellsville Rd
Greensburg, KY 42743-1460
Phone (270) 973-5400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3267PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Family Medical Center Inc Current Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Sep 9, 2018 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Sep 9, 2018 Accepting new patients
Cumberland Family Medical Center Inc Past Accepting new patients
Genesis Enterprises, Inc. Past Accepting new patients
Taylor County Hospital District Health Facilities Corporation Past Accepting new patients

Locations

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

100 Kidz Korner
Greensburg, KY 42743
Phone (270) 932-4388

106 Brummal Ave
Greensburg, KY 42743
Phone (270) 932-6615

1911 Campbellsville Rd
Greensburg, KY 42743
Phone (270) 932-2221

1911 Campbellsville Rd
Ste B
Greensburg, KY 42743
Phone (270) 465-3561

302 Brummal Ave
Greensburg, KY 42743
Phone (270) 932-6610

401 E Hodgenville Ave
Greensburg, KY 42743
Phone (270) 932-2743

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1386635613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 OLD LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427183319",
            "telephone_number": "270-405-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 COMMERCE DRIVE",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "42743",
            "telephone_number": "270-932-2424",
            "fax_number": "270-932-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 Campbellsville Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "KY",
            "postal_code": "427437758",
            "country_code": "US",
            "telephone_number": "270-932-2140",
            "fax_number": "270-932-2127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKEMAN",
        "first_name": "JAMIE",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3267P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78004439",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11221412",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, KY

Sources for this page

Verify at the official NPI Registry.