Active NPI
Jerry Nunn
- Counselor
- Bowling Green, KY
National Provider Identifier
1821547308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 126239
- Practice address
- 942 Searcy Way
Bowling Green, KY 42103-7168 - Phone
- (270) 781-8112
- Fax
- (270) 781-8114
- NPI assigned
- Sep 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 126239 | KY | Primary |
Addresses
Primary practice location
942 Searcy Way
Bowling Green, KY 42103-7168
Mailing address
942 Searcy Way
Bowling Green, KY 42103-7168
Phone (270) 781-8112
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126239 | KY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1821547308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "942 SEARCY WAY",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421037168",
"telephone_number": "270-781-8112",
"fax_number": "270-781-8114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "942 SEARCY WAY",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421037168",
"telephone_number": "270-781-8112",
"fax_number": "270-781-8114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNN",
"first_name": "JERRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-26",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KY",
"license": "126239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.