Individual provider Active NPI

Jody Lee Kuhnle, MS, RN, CPNP

  • Pediatric Nurse Practitioner
  • Hopkinsville, KY
National Provider Identifier
1457635831
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3018756 Issued in KY
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12902OtherTXRX 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711000568 KY Practitioner - Nurse Practitioner 6305205295 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
22551TNMDPediatric Nurse Practitioner
747350TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Stuart Medical Center Inc Current Accepting new patients
Jennie Stuart Medical Center Inc Pediatrics CurrentSince May 14, 2023 Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince May 14, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.