Josephine'S Fayette, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

JOSEPHINE'S FAYETTE, INC.

Practice address

125 Codell Dr Ste 104
Lexington, KY 40509-1183

Phone

(859) 269-6222

Fax

(859) 268-7492

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa J. Armstrong, CERTIFIED FITTER-MAS

Title

Owner/President

Phone

(859) 269-6222

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699787176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CODELL DR STE 104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091183",
            "telephone_number": "859-269-6222",
            "fax_number": "859-268-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CODELL DR STE 104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091183",
            "telephone_number": "859-269-6222",
            "fax_number": "859-268-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPHINE'S FAYETTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2022-07-21",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "859-269-6222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CERTIFIED FITTER-MAS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGA",
            "identifier": "7525929",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100234150",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGA",
            "identifier": "7525929",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000321955",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS",
            "identifier": "000000321955",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amy Joseph, MD
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• Shayla R Joseph, LCSW
• Laura Josephson, MD
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• Job Juarez, MSC
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• Specialist in Lexington, KY
• Providers in Lexington, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.