Individual provider Active NPI

Jessica Lynn Davis

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1487312021
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011335A Issued in IN
Practice address
312 S 4TH St Ste 700
Louisville, KY 40202-3046
Phone
(502) 804-5495
Fax
(833) 563-1715
NPI assigned
Dec 1, 2021
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71011335A IN Primary

Addresses

Primary practice location

312 S 4TH St Ste 700
Louisville, KY 40202-3046

Mailing address

312 S 4TH St Ste 700
Louisville, KY 40202-3046
Phone (502) 804-5495

Other names 1

  • Jessica Lynn Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220709000701 IN Practitioner - Nurse Practitioner 6709266612 Reassigns benefits to 1 organization
I20260205000740 KY Practitioner - Nurse Practitioner 6709266612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Signal Health IncGroup PAC ID 9234436957, 27 clinicians

Practice addresses (Care Compare)

312 S 4TH St
Suite 700
Louisville, KY 40202-3046
Phone (502) 804-5495

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71011335AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC CurrentSince May 1, 2023 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince May 1, 2023 Accepting new patients
Sound Physicians of Indiana, LLC Current Accepting new patients
Signal Health Inc. CurrentSince Jan 23, 2026 Accepting new patients
Transitions Health Network LLC Family Past Accepting new patients

Locations

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

4301 N Walnut St
Muncie, IN 47303
Phone (765) 282-0053

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25953/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jessica.johnson.1@28492.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1487312021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S 4TH ST STE 700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023046",
            "telephone_number": "502-804-5495",
            "fax_number": "833-563-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S 4TH ST STE 700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023046",
            "telephone_number": "502-804-5495",
            "fax_number": "833-563-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011335A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "JOHNSON",
            "middle_name": "LYNN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.