Jeffery H Eversole, APRN

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

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Marshall Emergency Services Associates, PLLC

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1891737185

  Nurse Practitioner

  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100128200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Anne Everman, M.D.
• Evernorth Care Providers - Tennessee PC
• Benjamin Evers
• Bernard Mark Evers, M.D.
• Emily Marie Eversole
• Kelly Eversole, DPT
• Dave Edward Lee Evett, CRNA
• Natalie Gwyn Evett
• Evolve Counseling, LLC
• Evolved Education and Consulting, LLC

• Family Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Family Nurse Practitioner in Kentucky

• 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.