Individual provider Active NPI

Jennifer D Gordon, FNP

  • Family Nurse Practitioner
  • Lawrenceburg, KY
National Provider Identifier
1750765673
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015411 Issued in KY
Practice address
92 Plaza Dr
Lawrenceburg, KY 40342-9056
Phone
(502) 839-3805
Fax
(502) 839-3806
NPI assigned
Jul 10, 2015
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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 3015411 KY Primary

Addresses

Primary practice location

92 Plaza Dr
Lawrenceburg, KY 40342-9056

Mailing address

PO Box 195
Salvisa, KY 40372-0195
Phone (502) 839-3805

Other practice location 1

4712 Boca Ln
Lexington, KY 40515-6463
Phone (606) 510-7778

Other practice location 2

1075 E Lexington Ave
Danville, KY 40422-1766
Phone (859) 712-2041

Other practice location 3

1064 N College St
Harrodsburg, KY 40330-2208
Phone (859) 734-3057

Other names 1

  • Jennifer Miller Former name

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
I20230620001469 KY Practitioner - Nurse Practitioner 2961704895 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abode Care Partners LTC VB LLCGroup PAC ID 8325316516, 81 clinicians
SHC Medical Partners of Kentucky, LLCGroup PAC ID 1153406301, 45 clinicians
Spivey Medical, PLLCGroup PAC ID 1355650300, 9 clinicians

Practice addresses (Care Compare)

2529 Six Mile LN
Louisville, KY 40220-2934
Phone (502) 491-5560

331 S Main St
Lawrenceburg, KY 40342-1215
Phone (502) 839-7246

92 Plaza Dr
Lawrenceburg, KY 40342-9056
Phone (502) 839-3805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Jun 1, 2023 Accepting new patients
Kentucky Urgent Care Walk-in Clinic CurrentSince Nov 27, 2024 Accepting new patients
Spivey Medical, PLLC CurrentSince Apr 21, 2025 Accepting new patients
Thrive Integrative Health LLC Family Current Accepting new patients
SHC Medical Partners of Kentucky, LLC CurrentSince Oct 23, 2023 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 6, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jul 17, 2025 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Jun 1, 2023 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 6, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jul 17, 2025 Accepting new patients

Locations

1075 E Lexington Ave
Danville, KY 40422
Phone (859) 712-2041

1591 Hustonville Rd
Danville, KY 40422
Phone (270) 861-1110

1064 N College St
Harrodsburg, KY 40330
Phone (859) 734-3004

331 S Main St
Lawrenceburg, KY 40342
Phone (502) 839-7246

92 Plaza Dr
Lawrenceburg, KY 40342
Phone (502) 839-3805

241 Pasadena Dr
Ste 110
Lexington, KY 40503
Phone (859) 287-2627

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22146/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.gordon.1@22146.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1750765673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "SALVISA",
            "state": "KY",
            "postal_code": "403720195",
            "telephone_number": "502-839-3805",
            "fax_number": "502-839-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 PLAZA DR",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403429056",
            "telephone_number": "502-839-3805",
            "fax_number": "502-839-3806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4712 Boca Ln",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405156463",
            "country_code": "US",
            "telephone_number": "606-510-7778",
            "fax_number": "502-371-8293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1075 E Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404221766",
            "country_code": "US",
            "telephone_number": "859-712-2041",
            "fax_number": "502-839-3806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1064 N College St",
            "address_purpose": "LOCATION",
            "city": "Harrodsburg",
            "state": "KY",
            "postal_code": "403302208",
            "country_code": "US",
            "telephone_number": "859-734-3057",
            "fax_number": "502-839-3806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrenceburg, KY

Sources for this page

Verify at the official NPI Registry.