Individual provider Active NPI

Jessica Brooke Houchins

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1780333187
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018102 Issued in KY
Practice address
610 Cave Mill Rd
Bowling Green, KY 42104-4682
Phone
(270) 599-0958
NPI assigned
Mar 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 3018102 KY Primary

Addresses

Primary practice location

610 Cave Mill Rd
Bowling Green, KY 42104-4682

Mailing address

298 Detour Rd
Bowling Green, KY 42101-9671
Phone (270) 570-5305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230823001975 KY Practitioner - Nurse Practitioner 6709249873 Reassigns benefits to 1 organization
I20251104003256 OH Practitioner - Nurse Practitioner 6709249873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1208 King St
Suite 500
Chattanooga, TN 37403-4352

298 Detour Rd
Bowling Green, KY 42101-9671

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3018102KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iris Medical Group Family CurrentSince Dec 1, 2025 Accepting new patients
Signify Health, LLC CurrentSince Aug 8, 2023 Accepting new patients
Concertocare Medical Group of Tennessee, PC CurrentSince Apr 6, 2025 Accepting new patients
Concertocare Medical Group of Ohio, Inc. CurrentSince Sep 24, 2025 Accepting new patients
Iris Wound Care, PC Past Accepting new patients

Locations

1131 Magnolia St
Bowling Green, KY 42103
Phone (615) 873-4490

3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

70 Birch Aly
Ste 240
Dayton, OH 45440
Phone (408) 507-1061

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1780333187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 DETOUR RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421019671",
            "telephone_number": "270-570-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 CAVE MILL RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044682",
            "telephone_number": "270-599-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUCHINS",
        "first_name": "JESSICA",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.