Organization Active NPI

JFMS Medical Consultants LLC

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1720820087
Registry record updated Jun 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
JFMS MEDICAL CONSULTANTS LLC
Practice address
1939 Goldsmith LN Ste 103
Louisville, KY 40218-3092
Phone
(502) 576-9260
Fax
(502) 576-9321
NPI assigned
Jun 8, 2024
Last updated
Jun 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2024

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

Authorized official

Name
Jacqueline Sanders
Title
Credentialing Manager
Phone
(502) 630-2036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1939 Goldsmith LN Ste 103
Louisville, KY 40218-3092

Mailing address

1939 Goldsmith LN Ste 103
Louisville, KY 40218-3092
Phone (502) 576-9260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240808004431 KY Part B Supplier - Clinic/Group Practice 4981141835 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717804800000",
    "number": "1720820087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 GOLDSMITH LN STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183092",
            "telephone_number": "502-576-9260",
            "fax_number": "502-576-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 GOLDSMITH LN STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183092",
            "telephone_number": "502-576-9260",
            "fax_number": "502-576-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JFMS MEDICAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-08",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-630-2036"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; 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.