Individual provider Active NPI

Jeffery H Eversole, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1770801482
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006409 Issued in KY
Practice address
2416 Regency Road
Lexington, KY 40503-2954
Phone
(859) 278-1316
Fax
(859) 276-3847
NPI assigned
May 6, 2010
Last updated
Nov 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3006409 KY Primary
Nurse Practitioner 363L00000X 3006409 KY

Addresses

Primary practice location

2416 Regency Road
Lexington, KY 40503-2954

Mailing address

280 Pasadena Dr
Lexington, KY 40503-2925
Phone (859) 278-1316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Treatment Center of the Bluegrass PSC Nurse Practitioner CurrentSince Oct 12, 2025 Accepting new patients
Marshall Emergency Services Associates, PLLC Nurse Practitioner Past Accepting new patients

Locations

2416 Regency Rd
Lexington, KY 40503

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, 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": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1770801482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 PASADENA DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032925",
            "telephone_number": "859-278-1316",
            "fax_number": "859-276-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 REGENCY ROAD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032954",
            "telephone_number": "859-278-1316",
            "fax_number": "859-276-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERSOLE",
        "first_name": "JEFFERY",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006409",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.