Amber Jefferson

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

1254 US 31W Byp
Bowling Green, KY 42101-2577

Phone

(270) 777-6321

NPI assigned

Nov 22, 2021

Last updated

Nov 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• K'Nai Beauty Supply & Salon LLC

  • Durable Medical Equipment & Medical Supplies
  • Bowling Green, KY
  • NPI 1144987074
  NPD Authorized official

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1588321830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 US 31W BYP",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012577",
            "telephone_number": "270-777-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 US 31W BYP",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012577",
            "telephone_number": "270-777-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan James, MAE
• James Ovid Jarvis, M.D.
• Elnad Jasarevic
• Christy Jasper
• Jay Tomes Davis, MD, Obstetrics & Gynecology PSC (Jay T. Davis, M.D., PSC)
• Cassandra Marie Jenkins, DPT
• Kacey Lusk Jenkins, PH.D., LMFTA
• Samantha Brooke Jenkins, M.S., CF-SLP
• Sharon Kay Jenkins, FNP
• Sylvia Katherine Jennette, DO

• Durable Medical Equipment & Medical Supplies in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.