Active NPI
Jennifer Lynn Ford, SURGICAL ASSISTANT
- Surgical Technologist
- Madisonville, KY
National Provider Identifier
1447585484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- SA198
- Practice address
- 44 McCoy Ave
Suite 442
Madisonville, KY 42431-2867 - Phone
- (270) 824-6655
- Fax
- (270) 824-6629
- NPI assigned
- Oct 8, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | SA198 | KY | Primary |
Addresses
Primary practice location
44 McCoy Ave
Suite 442
Madisonville, KY 42431-2867
Mailing address
44 McCoy Ave
Suite 442
Madisonville, KY 42431-2867
Phone (270) 824-6655
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA198 | KY | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1447585484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 MCCOY AVE",
"address_2": "SUITE 442",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424312867",
"telephone_number": "270-824-6655",
"fax_number": "270-824-6629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 MCCOY AVE",
"address_2": "SUITE 442",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424312867",
"telephone_number": "270-824-6655",
"fax_number": "270-824-6629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "SURGICAL ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-08",
"last_updated": "2009-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "KY",
"license": "SA198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.