Active NPI
Jordyn L Bush, APRN
- Family Nurse Practitioner
- Lexington, KY
National Provider Identifier
1619588241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3014381
- Practice address
- 124 Clay Ave
Lexington, KY 40502-1702 - Phone
- (606) 316-1632
- NPI assigned
- Aug 17, 2020
- Last updated
- Aug 17, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3014381 | KY | Primary |
Addresses
Primary practice location
124 Clay Ave
Lexington, KY 40502-1702
Mailing address
222 Arlington Ave
Lexington, KY 40508-2708
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://signin.booker.com/auth/i/login?id=b801dfdd542eae4554c929c1352d640b | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3014381 | KY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1619588241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 ARLINGTON AVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405082708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 CLAY AVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405021702",
"telephone_number": "606-316-1632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "JORDYN",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3014381",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://signin.booker.com/auth/i/login?id=b801dfdd542eae4554c929c1352d640b",
"affiliation": "N",
"endpointDescription": "Booker",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "124 Clay Ave",
"city": "Lexington",
"state": "KY",
"country_code": "US",
"postal_code": "405021702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.