Individual provider Active NPI

Jenna Beth Vaught, D.P.M

  • Podiatrist
  • Nicholasville, KY
National Provider Identifier
1700174604
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
244032 Issued in KY
Practice address
801 E Brannon Rd Unit 322
Nicholasville, KY 40356-6095
Phone
(502) 438-7739
NPI assigned
Jul 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 244032 KY Primary

Addresses

Primary practice location

801 E Brannon Rd Unit 322
Nicholasville, KY 40356-6095

Mailing address

PO Box 910216
Lexington, KY 40591-0216
Phone (502) 438-7739

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170811001757 KY Practitioner - Podiatry 6305074808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

801 E Brannon Rd
Unit 322
Nicholasville, KY 40356-6095
Phone (502) 438-7739

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue842
Removal or shaving of skin growth681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
244032KYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jenna Vaught LLC Podiatrist CurrentSince May 23, 2017 Accepting new patients
Jenna B Vaught LLC Podiatrist CurrentSince Apr 20, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1700174604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910216",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405910216",
            "telephone_number": "502-438-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E BRANNON RD UNIT 322",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403566095",
            "telephone_number": "502-438-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHT",
        "first_name": "JENNA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "244032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.