Active NPI
Jessica Nicole Paris
- Case Manager/Care Coordinator
- Campbellsville, KY
National Provider Identifier
1447076914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 589 Feather Creek Rd
Campbellsville, KY 42718-4988 - Phone
- (270) 789-8956
- NPI assigned
- Nov 29, 2024
- Last updated
- Mar 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
589 Feather Creek Rd
Campbellsville, KY 42718-4988
Mailing address
589 Feather Creek Rd
Campbellsville, KY 42718-4988
Phone (270) 789-8956
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | executivedirector@bloomsupports.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Supports | Social Worker | Current | Accepting new patients |
Organizations & group practices 1
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": "1732838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742083200000",
"number": "1447076914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "589 FEATHER CREEK RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427184988",
"telephone_number": "270-789-8956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "589 FEATHER CREEK RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427184988",
"telephone_number": "270-789-8956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARIS",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-29",
"last_updated": "2025-03-16",
"certification_date": "2025-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "executivedirector@bloomsupports.com",
"affiliation": "N",
"address_1": "589 Feather Creek Rd",
"city": "Campbellsville",
"state": "KY",
"country_code": "US",
"postal_code": "427184988",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.