NPIMap

Individual provider Active NPI

Jennifer C Daniel, APRN

  • Nurse Practitioner
  • Danville, KY
National Provider Identifier
1669875241
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3008963 Issued in KY
Practice address
640 E Lexington Ave
Danville, KY 40422-1719
Phone
(859) 236-1250
Fax
(859) 236-9776
NPI assigned
Sep 26, 2014
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3008963 KY Primary

Addresses

Primary practice location

640 E Lexington Ave
Danville, KY 40422-1719

Mailing address

217 S 3Rd St
Danville, KY 40422-1823
Phone (859) 239-5860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141110002213 KY Practitioner - Nurse Practitioner 9335361286 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

105 Ponder CT
Suite 104
Danville, KY 40422-9050
Phone (859) 236-4216

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.36 of 100Reported as group
Quality
64.78
Promoting interoperability
100
Improvement activities
40
Cost
67.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3008963KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc Nurse Practitioner CurrentSince Jun 3, 2015 Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated CurrentSince Jun 1, 2020 Accepting new patients
Ephraim McDowell Health Resource, Inc. Nurse Practitioner Current Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Feb 4, 2019 Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Feb 4, 2019 Accepting new patients
Nick Dedman, MD and Associates, P.S.C. Current Accepting new patients
The James B. Haggin Memorial Hospital Inc Nurse Practitioner Current Accepting new patients
Ephraim McDowell Regional Medical Center, Incorporated CurrentSince Jun 1, 2020 Accepting new patients
Ephraim McDowell Health Resource, Inc. CurrentSince Jun 3, 2015 Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Past Accepting new patients

Locations

105 Ponder Ct
Ste 104
Danville, KY 40422
Phone (859) 236-4216

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

1541 Lebanon Rd
Ste 1
Danville, KY 40422
Phone (859) 236-3208

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

1509 Louisville Rd
Harrodsburg, KY 40330
Phone (859) 236-7712

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

466 Linden Ave
#A
Harrodsburg, KY 40330
Phone (859) 734-5173

405 Danville St
Lancaster, KY 40444
Phone (859) 792-2124

510 N Camp Dick Rd
Lancaster, KY 40444
Phone (859) 548-8000

511 Middleburg St
Liberty, KY 42539
Phone (606) 236-2388

280 Lincoln Dr
Springfield, KY 40069
Phone (859) 336-9801

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

5130 Parkway Plaza Blvd
Charlotte, NC 28217

Organizations & group practices 10

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.

Hospital & facility affiliations 8

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": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1669875241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S 3RD ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221823",
            "telephone_number": "859-239-5860",
            "fax_number": "859-239-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E LEXINGTON AVE",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221719",
            "telephone_number": "859-236-1250",
            "fax_number": "859-236-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.