Individual provider Active NPI

Jill E Justice, ARNP

  • Family Nurse Practitioner
  • Edgewood, KY
National Provider Identifier
1669484044
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3004924-NP Issued in KY
Practice address
830 Thomas More Pkwy
Suite 202
Edgewood, KY 41017-5102
Phone
(859) 341-6281
Fax
(859) 341-4661
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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 3004924-NP KY Primary

Addresses

Primary practice location

830 Thomas More Pkwy
Suite 202
Edgewood, KY 41017-5102

Mailing address

4600 Montgomery Rd
Ste 105
Cincinnati, OH 45212-2697
Phone (513) 487-5305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070530000469 KY Practitioner - Nurse Practitioner 1355449257 Reassigns benefits to 1 organization
I20140211001734 OH Practitioner - Nurse Practitioner 1355449257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney and Hypertension Center IncGroup PAC ID 9830099985, 47 clinicians

Practice addresses (Care Compare)

2123 Auburn Ave
Suite 404
Cincinnati, OH 45219-2906
Phone (513) 241-5630

830 Thomas More Pkwy
Suite 202
Edgewood, KY 41017-5103
Phone (859) 341-6281

Hospital & facility affiliations

  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
  • St Elizabeth Florence Hospital, Florence, KY, CCN 180045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3004924-NPKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Center Inc Family CurrentSince Jun 25, 2007 Accepting new patients
Northern Kentucky Heart PSC Past Accepting new patients

Locations

1500 James Simpson Jr Way
Ste 301
Covington, KY 41011
Phone (859) 341-6281

7370 Turfway Rd
Ste 290
Florence, KY 41042
Phone (330) 637-0348

40 N Grand Ave
Ste 204
Fort Thomas, KY 41075
Phone (606) 781-6222

830 Thomas More Pkwy
Ste 202
Ft Mitchell, KY 41017
Phone (606) 341-6281

4600 Montgomery Rd
Ste 105
Cincinnati, OH 45212
Phone (513) 487-5305

2123 Auburn Ave
Ste 404
Cincinnati, OH 45219
Phone (513) 241-5630

3219 Clifton Ave
Ste 325
Cincinnati, OH 45220
Phone (513) 861-0800

Interoperability endpoints

  • Direct secure messaging: jjustice27173@direct-prd.stelizabeth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1669484044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD",
            "address_2": "STE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122697",
            "telephone_number": "513-487-5305",
            "fax_number": "513-487-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 THOMAS MORE PKWY",
            "address_2": "SUITE 202",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410175102",
            "telephone_number": "859-341-6281",
            "fax_number": "859-341-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "JILL",
        "middle_name": "E",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004924-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.