Individual provider Active NPI

Jessica Bryant, APRN, FNP-C

  • Family Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1689134165
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013232 Issued in KY
Practice address
613 23Rd St Ste 350
Ashland, KY 41101-2879
Phone
(606) 408-8200
Fax
(606) 408-6291
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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 3013232 KY Primary

Addresses

Primary practice location

613 23Rd St Ste 350
Ashland, KY 41101-2879

Mailing address

PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-8200

Other practice location 1

2100 Lexington Ave
Ashland, KY 41101-2822
Phone (606) 408-4000

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
I20190430000894 KY Practitioner - Nurse Practitioner 4880936509 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
King'S Daughters Medical Specialties, Inc. Family CurrentSince Apr 28, 2019 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Apr 28, 2019 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

617 23rd St
Ste 350
Ashland, KY 41101
Phone (606) 408-8200

Interoperability endpoints

  • Direct secure messaging: jbryant25153@direct.kdhealth.us

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.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1689134165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-408-8200",
            "fax_number": "606-408-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE 350",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012879",
            "telephone_number": "606-408-8200",
            "fax_number": "606-408-6291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411012822",
            "country_code": "US",
            "telephone_number": "606-408-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "JESSICA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.