Active NPI
Terry M. Jepson, ARNP
- Nurse Practitioner
- Bowling Green, KY
National Provider Identifier
1679607188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2361P
- Practice address
- 2710 Nashville Rd
Bowling Green, KY 42101-5375 - Phone
- (270) 781-6164
- Fax
- (270) 781-2484
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2361P | KY | Primary |
Addresses
Primary practice location
2710 Nashville Rd
Bowling Green, KY 42101-5375
Mailing address
PO Box 2697
Bowling Green, KY 42102-7697
Phone (270) 745-1467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78005212 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2361P | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Health Corp, Inc. | Past | Accepting new patients | |
| Park Street Partners, L.L.P. | Nurse Practitioner | Past | Accepting new patients |
| Commonwealth Health Corporation, Inc. | Past | Accepting new patients |
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.
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- Family Nurse Practitioner
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- NPI 1427195247
-
- Plastic and Reconstructive Surgery Physician
- Bowling Green, KY
- NPI 1104470699
-
- Family Medicine Physician
- Bowling Green, KY
- NPI 1053341339
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679607188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2697",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421027697",
"telephone_number": "270-745-1467",
"fax_number": "270-745-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 NASHVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421015375",
"telephone_number": "270-781-6164",
"fax_number": "270-781-2484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEPSON",
"first_name": "TERRY",
"middle_name": "M.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "2361P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78005212",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.