Individual provider Active NPI

Jennifer Lyn Story, APRN

  • Family Nurse Practitioner
  • Mayfield, KY
National Provider Identifier
1629305263
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006000 Issued in KY
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

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100103020MedicaidKY

Other names 1

  • Miss Jennifer Lyn Pigg Former name

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

LicenseStateTypeSpecialty
1098654KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cecil Clinic, PLLC Family PastSince Oct 22, 2012 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.

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.

Verify at the official NPI Registry.