Jennifer Ostertag, ARNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

2242P Issued in KY

Practice address

3012 Eastpoint Pkwy
Louisville, KY 40223-4185

Phone

(502) 339-6550

Fax

(502) 339-6501

NPI assigned

Mar 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861451353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 EASTPOINT PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234185",
            "telephone_number": "502-339-6550",
            "fax_number": "502-339-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 EASTPOINT PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234185",
            "telephone_number": "502-339-6550",
            "fax_number": "502-339-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERTAG",
        "first_name": "JENNIFER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "2242P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Primary Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.