Active NPI
Jennifer Lyn Story, APRN
- Family Nurse Practitioner
- Mayfield, KY
National Provider Identifier
1629305263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3006000
- Practice address
- 1011 Paris Rd
Suite 341
Mayfield, KY 42066-3306 - Phone
- (270) 251-0907
- Fax
- (270) 251-0908
- NPI assigned
- Nov 3, 2009
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3006000 | KY | Primary |
| Registered Nurse | 163W00000X | 1098654 | KY |
Addresses
Primary practice location
1011 Paris Rd
Suite 341
Mayfield, KY 42066-3306
Mailing address
1011 Paris Rd
Suite 341
Mayfield, KY 42066-3306
Phone (270) 251-0907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100103020 | Medicaid | KY |
Other names 1
- Miss Jennifer Lyn Pigg
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1098654 | KY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cecil Clinic, PLLC | Family | Past | Accepting new patients |
| Baptist Community Health Services Inc | Family | Past | Accepting new patients |
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.
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1023275500
Family
-
- Developmental - Behavioral Pediatrics Physician
- Paducah, KY
- NPI 1831448679
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1629305263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 PARIS RD",
"address_2": "SUITE 341",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420663306",
"telephone_number": "270-251-0907",
"fax_number": "270-251-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 PARIS RD",
"address_2": "SUITE 341",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420663306",
"telephone_number": "270-251-0907",
"fax_number": "270-251-0908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORY",
"first_name": "JENNIFER",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3006000",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1098654",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100103020",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "PIGG",
"middle_name": "LYN",
"prefix": "MISS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mayfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.