Active NPI
Jessica Nicole Jacobs
- Student in an Organized Health Care Education/Training Program
- Bardstown, KY
National Provider Identifier
1518335694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 331 S 3Rd St
Bardstown, KY 40004-1032 - Phone
- (270) 765-2605
- NPI assigned
- Sep 8, 2015
- Last updated
- Sep 8, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
331 S 3Rd St
Bardstown, KY 40004-1032
Mailing address
7314 Quail Ridge Rd
Louisville, KY 40291-4903
Phone (270) 200-3111
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1518335694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7314 QUAIL RIDGE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402914903",
"telephone_number": "270-200-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 S 3RD ST",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400041032",
"telephone_number": "270-765-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-08",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bardstown, KY
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- James Lawrence Maupin, D.C., PSC
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- James T Dodge DO LLC (Center for Women's Health ARNP)
- Stephanie Wimpsett James, SLP
- Lori Hodges Janes, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.