Individual provider Active NPI

Jinger Renee Pruden, M.A., CCC-A

  • Audiologist
  • Lexington, KY
National Provider Identifier
1528268992
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
100824 Issued in KY
Practice address
350 Henry Clay Blvd
Lexington, KY 40502-1024
Phone
(859) 268-4545
Fax
(859) 269-1857
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X HISHSP00218694 KY
Audiologist 231H00000X 100824 KY Primary

Addresses

Primary practice location

350 Henry Clay Blvd
Lexington, KY 40502-1024

Mailing address

350 Henry Clay Blvd
Lexington, KY 40502-1024
Phone (859) 268-4545

Other practice location 1

230 Fountain Ct Ste 230
Lexington, KY 40509-1897
Phone (859) 258-8770

Other practice location 2

1720 Nicholasville Rd Ste 501
Lexington, KY 40503-1487
Phone (859) 258-8731

Other practice location 3

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4371

Other identifiers 1

IdentifierTypeStateIssuer
7100343330MedicaidKY

Other names 1

  • Mrs. Jinger Renee Pruden Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130912000398 KY Practitioner - Qualified Audiologist 7012151095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Cincinnati College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians
Lexington Hearing and Speech Center Inc.Group PAC ID 7618103177, 4 clinicians

Practice addresses (Care Compare)

230 Fountain CT
Suite 230
Lexington, KY 40509-1897
Phone (859) 977-5335

350 Henry Clay Blvd
Lexington, KY 40502-1024
Phone (859) 268-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
HISHSP00218694KYMDAudiologist-Hearing Aid Fitter

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1528268992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HENRY CLAY BLVD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021024",
            "telephone_number": "859-268-4545",
            "fax_number": "859-269-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HENRY CLAY BLVD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021024",
            "telephone_number": "859-268-4545",
            "fax_number": "859-269-1857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Fountain Ct Ste 230",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091897",
            "country_code": "US",
            "telephone_number": "859-258-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Nicholasville Rd Ste 501",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031487",
            "country_code": "US",
            "telephone_number": "859-258-8731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405042701",
            "country_code": "US",
            "telephone_number": "859-258-4371",
            "fax_number": "859-258-4326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUDEN",
        "first_name": "JINGER",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "KY",
            "license": "HISHSP00218694",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "100824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100343330",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JINGER",
            "last_name": "PRUDEN",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "MA CCC-A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.