Individual provider Active NPI

Jennifer Jude, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisa, KY
National Provider Identifier
1649911819
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3017629 Issued in KY
Practice address
2485 Highway 644
Louisa, KY 41230-9242
Phone
(606) 369-9451
NPI assigned
Apr 4, 2022
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3017629 KY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 124169 WV

Addresses

Primary practice location

2485 Highway 644
Louisa, KY 41230-9242

Mailing address

1637 Coldwater Rd
Inez, KY 41224-8715
Phone (606) 369-2883

Other practice location 1

5960 US Route 60 E Ste 2
Barboursville, WV 25504-1038
Phone (304) 972-9175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220613001084 KY Practitioner - Nurse Practitioner 9931587409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Three Rivers Medical Clinics IncGroup PAC ID 7315845047, 30 clinicians

Practice addresses (Care Compare)

2483 Hwy 644
Louisa, KY 41230-9242

2483 Hwy 644 102
Louisa, KY 41230-9242
Phone (606) 638-7488

2483 Hwy 644 104
Louisa, KY 41230-9242
Phone (606) 638-7288

2483 Hwy 644 107
Louisa, KY 41230-9242
Phone (606) 638-1154

2483 Hwy 644 201
Louisa, KY 41230-9242
Phone (606) 638-9404

2485 Hwy 644
Louisa, KY 41230-9242
Phone (606) 638-1154

822 S Mayo TRL
Paintsville, KY 41240-1384
Phone (606) 789-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3017629KYMDPsychiatric/Mental Health Nurse Practitioner
124169WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Medical Clinics Inc CurrentSince Jun 6, 2022 Accepting new patients
Three Rivers Medical Clinics Inc CurrentSince Jun 6, 2022 Accepting new patients

Locations

94 Boardwalk
#1
Inez, KY 41224
Phone (606) 296-2660

2483 Highway 644
Ste 107
Louisa, KY 41230
Phone (606) 638-1154

2483 Highway 644
Ste 204
Louisa, KY 41230
Phone (606) 638-7427

2485 Highway 644
Louisa, KY 41230
Phone (606) 638-1154

822 S Mayo Trl
Paintsville, KY 41240
Phone (606) 789-5441

958 Broadway St
Paintsville, KY 41240
Phone (606) 789-2424

Interoperability endpoints

  • Direct secure messaging: jennifer.jude.1@1954.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1649911819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 COLDWATER RD",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412248715",
            "telephone_number": "606-369-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HIGHWAY 644",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412309242",
            "telephone_number": "606-369-9451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5960 US Route 60 E Ste 2",
            "address_purpose": "LOCATION",
            "city": "Barboursville",
            "state": "WV",
            "postal_code": "255041038",
            "country_code": "US",
            "telephone_number": "304-972-9175",
            "fax_number": "304-736-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDE",
        "first_name": "JENNIFER",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-04",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3017629",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "124169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

Verify at the official NPI Registry.