Jump Start Recovery

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

JUMP START RECOVERY

Practice address

331 & 335 Preston St
Louisville, KY 40202

Phone

(502) 384-3447

Fax

(502) 384-3447

NPI assigned

Jan 12, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nasira Mah-Jabeen

Title

Director of Operations

Phone

(502) 579-0170

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1629849179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S PRESTON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021503",
            "telephone_number": "502-552-6064",
            "fax_number": "502-384-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 & 335 PRESTON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "502-384-3447",
            "fax_number": "502-384-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMP START RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "MAH-JABEEN",
        "authorized_official_first_name": "NASIRA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "502-579-0170",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie S. Lee, M.D., PLLC
• Michelle C Julien, MD
• Nathaniel Julien, MD
• Julio C Melo MD
• Jill Elizabeth Juliot, PT
• Mary B Jump, PTA
• Darlene Holsclaw Jumpp, RNFA
• Matthew Junard
• Lisa A June, M.D.
• John Nattin Juneau, DO

• Multi-Specialty Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Multi-Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.