Individual provider Active NPI

Jordyn L Bush, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1619588241
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014381 Issued in KY
Practice address
124 Clay Ave
Lexington, KY 40502-1702
Phone
(606) 316-1632
NPI assigned
Aug 17, 2020
Last updated
Aug 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
3014381KYMDFamily 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.

Verify at the official NPI Registry.