Active NPI
Jody Lee Kuhnle, MS, RN, CPNP
- Pediatric Nurse Practitioner
- Hopkinsville, KY
National Provider Identifier
1457635831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 3018756
- Practice address
- 105 Keeton Dr
Hopkinsville, KY 42240-8756 - Phone
- (270) 887-6565
- Fax
- (270) 887-6575
- NPI assigned
- Oct 4, 2011
- Last updated
- Dec 13, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 747350 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | 747350 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | 22551 | TN | |
| Pediatric Nurse Practitioner | 363LP0200X | 3018756 | KY | Primary |
Addresses
Primary practice location
105 Keeton Dr
Hopkinsville, KY 42240-8756
Mailing address
809 Brooke Valley Trce
Clarksville, TN 37043-5931
Phone (915) 443-2745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12902 | Other | TX | RX AUTHORIZATION NUMBER |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22551 | TN | MD | Pediatric Nurse Practitioner |
| 747350 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennie Stuart Medical Center Inc | Current | Accepting new patients | |
| Jennie Stuart Medical Center Inc | Pediatrics | Current | Accepting new patients |
| Jennie Stuart Medical Center Inc | Current | Accepting new patients |
Locations
105 Keeton Dr
Hopkinsville, KY 42240
Phone (270) 887-6565
10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640
Interoperability endpoints
- jkuhnle1011920@direct.deaconess.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Hopkinsville, KY
- NPI 1235139312
-
- Family Nurse Practitioner
- Hopkinsville, KY
- NPI 1790086767
Pediatrics
-
dba Jennie Stuart Family Health
- Rural Health Clinic/Center
- Hopkinsville, KY
- NPI 1912627605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1457635831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 BROOKE VALLEY TRCE",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370435931",
"telephone_number": "915-443-2745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 KEETON DR",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422408756",
"telephone_number": "270-887-6565",
"fax_number": "270-887-6575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUHNLE",
"first_name": "JODY",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "MS, RN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-04",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "747350",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "747350",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "22551",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "KY",
"license": "3018756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RX AUTHORIZATION NUMBER",
"identifier": "12902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.