Individual provider Active NPI

Jennifer Rose Slaubaugh, APRN, FNP-C

  • Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1619800265
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4059636 Issued in KY
Practice address
5294 Bakers Spring St Apt 113
Bowling Green, KY 42101-7732
Phone
(270) 999-2547
Fax
(270) 999-2547
NPI assigned
Jun 4, 2026
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4059636 KY Primary

Addresses

Primary practice location

5294 Bakers Spring St Apt 113
Bowling Green, KY 42101-7732

Mailing address

5294 Bakers Spring St Apt 113
Bowling Green, KY 42101-7732
Phone (270) 999-2547

Other practice location 1

1497 Nashville St
Russellville, KY 42276-8850
Phone (270) 726-9568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

480 Hopkinsville St
Greenville, KY 42345-1124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4059636KYMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1619800265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5294 BAKERS SPRING ST APT 113",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421017732",
            "telephone_number": "270-999-2547",
            "fax_number": "270-999-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5294 BAKERS SPRING ST APT 113",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421017732",
            "telephone_number": "270-999-2547",
            "fax_number": "270-999-2547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1497 Nashville St",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "KY",
            "postal_code": "422768850",
            "country_code": "US",
            "telephone_number": "270-726-9568",
            "fax_number": "270-726-9570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAUBAUGH",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4059636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.