Jessica L Estes, DNP, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Lewisport, KY
NPI 1487632709 · NPPES record last updated Dec 11, 2020
Key facts
- NPI
- 1487632709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 3004576 (KY)
- Practice address
- 1210 4TH St
Lewisport, KY 42351-2526 - Phone
- (270) 255-4341
- Fax
- (270) 255-4767
- NPI assigned
- Jan 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4903 | MN | MD | Chiropractor |
| 71002013A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
| 3004576 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park View Psychiatric Services, PSC | Psychiatric/Mental Health | Past | Accepting new patients |
| Owensboro Health, Inc | Psychiatric/Mental Health | Past | Accepting new patients |
Interoperability endpoints
- jessica.estes.1@32853.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71002013A | IN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3004576 | KY | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 167419 | AK |
Addresses
Primary practice location
1210 4TH St
Lewisport, KY 42351-2526
Mailing address
4020 Folker St
Anchorage, AK 99508-5321
Phone (907) 563-1000
Other practice location 1
1000 Breckenridge St
Suite 303
Owensboro, KY 42303-0839
Phone (270) 691-5900
Other practice location 2
1000 Breckenridge St
Suite 303
Owensboro, KY 42303-0839
Phone (270) 691-5900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200939340 | Medicaid | IN | |
| 7801519500 | Medicaid | KY |
Other providers in Lewisport, KY
- C & T Healthcare PLLC
- Amy Cameron
- McKena Campbell
- Cynthia Jo Emmick
- Estes Behavioral Health, LLC
- Adria Leigh Eubanks
- Family Health Care Associates 6 Limited Liability Company
- George Marshall Counseling, PLLC
- Brenton A Hallden
- Hancock Health LLC
All providers in Lewisport, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.