Active NPI
Jinger Renee Pruden, M.A., CCC-A
- Audiologist
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 100824
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100343330 | Medicaid | KY |
Other names 1
- Mrs. Jinger Renee Pruden
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| HISHSP00218694 | KY | MD | Audiologist-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.
-
- Audiologist
- Lexington, KY
- NPI 1265560973
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1700803681
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.