Active NPI
Jennifer Lynn Dickey, APRN
- Family Nurse Practitioner
- Jackson, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3014885
- Practice address
- 1484 Lakeside Dr
Jackson, KY 41339-6555 - Phone
- (606) 666-9950
- Fax
- (606) 666-9136
- NPI assigned
- Oct 21, 2020
- Last updated
- Oct 22, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3014885 | KY | Primary |
Addresses
Primary practice location
1484 Lakeside Dr
Jackson, KY 41339-6555
Mailing address
PO Box 690
Beattyville, KY 41311-0690
Phone (606) 464-0151
Other practice location 1
905 Main St
West Liberty, KY 41472-1023
Phone (606) 743-4808
Other practice location 2
202 Plummer St
Campton, KY 41301-9381
Phone (606) 668-7385
Other practice location 3
308 N Ky 7
Sandy Hook, KY 41171
Phone (606) 464-0151
Other practice location 4
125 Main St
Beattyville, KY 41311-7484
Phone (606) 464-2401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3014885 | Other | KY | APRN LICENSURE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1484 Lakeside Dr
Jackson, KY 41339-7370
Phone (606) 666-9950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juniper Health Inc | Current | Accepting new patients | |
| Juniper Health Inc | Current | Accepting new patients | |
| QPS LLC | Current | Accepting new patients | |
| Juniper Health Inc | Past | Accepting new patients |
Locations
1025 Grand Ave
Beattyville, KY 41311
Phone (606) 464-2401
1665 Highway 11 S
Beattyville, KY 41311
Phone (606) 464-2401
599 Lee Ave
Beattyville, KY 41311
Phone (606) 464-2401
10355 Highway 30 W
Booneville, KY 41314
Phone (606) 666-9950
2085 US Highway 460 E
Frenchburg, KY 40322
Phone (606) 768-3725
11134 KY Highway 191
Hazel Green, KY 41332
Phone (606) 662-8252
1484 Lakeside Dr
Jackson, KY 41339
Phone (606) 666-9950
2307 Bobcat Ln
Jackson, KY 41339
Phone (606) 666-9950
940 Highland Ave
Jackson, KY 41339
Phone (606) 666-4979
125 Main St
Old Landing, KY 41311
Phone (606) 464-2401
1745 Ky 715
Rogers, KY 41365
Phone (606) 668-7385
905 Main St
West Liberty, KY 41472
Phone (606) 743-4111
Interoperability endpoints
- jennifer.dickey.p1@direct.juniperhealth.nextgenshare.com
- jenniferdickey@juniperhea.allscriptsdirect.net
Organizations & group practices 4
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.
-
dba Lee County Family Medical Clinic
- Federally Qualified Health Center (FQHC)
- Beattyville, KY
- NPI 1407818628
-
dba Breathitt County Family Health Center
- Federally Qualified Health Center (FQHC)
- Jackson, KY
- NPI 1467417691
-
dba Lee County Family Medical Clinic
- Federally Qualified Health Center (FQHC)
- Beattyville, KY
- NPI 1669588505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1861091886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690",
"city": "BEATTYVILLE",
"state": "KY",
"postal_code": "413110690",
"telephone_number": "606-464-0151",
"fax_number": "606-464-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1484 LAKESIDE DR",
"city": "JACKSON",
"state": "KY",
"postal_code": "413396555",
"telephone_number": "606-666-9950",
"fax_number": "606-666-9136"
}
],
"practiceLocations": [
{
"address_1": "905 Main St",
"address_purpose": "LOCATION",
"city": "West Liberty",
"state": "KY",
"postal_code": "414721023",
"country_code": "US",
"telephone_number": "606-743-4808",
"fax_number": "606-743-4716",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "202 Plummer St",
"address_purpose": "LOCATION",
"city": "Campton",
"state": "KY",
"postal_code": "413019381",
"country_code": "US",
"telephone_number": "606-668-7385",
"fax_number": "606-668-7009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "308 N KY 7",
"address_purpose": "LOCATION",
"city": "Sandy Hook",
"state": "KY",
"postal_code": "41171",
"country_code": "US",
"telephone_number": "606-464-0151",
"fax_number": "606-464-0152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 Main St",
"address_purpose": "LOCATION",
"city": "Beattyville",
"state": "KY",
"postal_code": "413117484",
"country_code": "US",
"telephone_number": "606-464-2401",
"fax_number": "606-464-3290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKEY",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3014885",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSURE",
"identifier": "3014885",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.