Active NPI
Jessica Hoemberg
- Case Manager/Care Coordinator
- Lexington, KY
National Provider Identifier
1467991646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 170581
- Practice address
- 455 Park PL
Ste 130
Lexington, KY 40511-1830 - Phone
- (859) 276-0533
- Fax
- (859) 277-3653
- NPI assigned
- Feb 21, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 170581 | KY | Primary |
Addresses
Primary practice location
455 Park PL
Ste 130
Lexington, KY 40511-1830
Mailing address
455 Park PL
Ste 130
Lexington, KY 40511-1830
Phone (859) 276-0533
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 |
|---|---|---|---|
| 170581 | KY | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1467991646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 PARK PL",
"address_2": "STE 130",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111830",
"telephone_number": "859-276-0533",
"fax_number": "859-277-3653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 PARK PL",
"address_2": "STE 130",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111830",
"telephone_number": "859-276-0533",
"fax_number": "859-277-3653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEMBERG",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "KY",
"license": "170581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.