Individual provider Active NPI

Danielle Jennings, APRN

  • Family Nurse Practitioner
  • Madisonville, KY
National Provider Identifier
1669134086
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016511 Issued in KY
Practice address
1500 Pride Ave
Madisonville, KY 42431-9157
Phone
(270) 821-1813
Fax
(270) 821-8152
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3016511 KY Primary

Addresses

Primary practice location

1500 Pride Ave
Madisonville, KY 42431-9157

Mailing address

1500 Pride Ave
Madisonville, KY 42431-9157

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
I20211021002494 KY Practitioner - Nurse Practitioner 2961890058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maanya LLCGroup PAC ID 5092016824, 9 clinicians

Practice addresses (Care Compare)

116 Main St
Cadiz, KY 42211-9163
Phone (270) 350-4504

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3016511KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maanya LLC CurrentSince Jul 11, 2023 Accepting new patients
Maanya LLC CurrentSince Jul 11, 2023 Accepting new patients
Provider Partners Care Management LP CurrentSince Jul 1, 2025 Accepting new patients

Locations

116 Main St
Cadiz, KY 42211
Phone (270) 350-4504

250 Main St
#A
Cadiz, KY 42211
Phone (270) 250-4504

446 Mount Holly Ave
Louisville, KY 40206
Phone (502) 897-1646

323 S Jefferson St
Ste C
Princeton, KY 42445
Phone (270) 350-4504

310 Hawthorne St
Princeton, KY 42445
Phone (270) 365-0227

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1669134086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PRIDE AVE",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PRIDE AVE",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319157",
            "telephone_number": "270-821-1813",
            "fax_number": "270-821-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

Verify at the official NPI Registry.