Jessamine County Health Department

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

JESSAMINE COUNTY HEALTH DEPARTMENT

Practice address

210 E Walnut St
Nicholasville, KY 40356-1252

Phone

(859) 885-4149

Fax

(859) 885-1863

NPI assigned

Dec 28, 2005

Last updated

Mar 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Garry R. Gooch

Title

Public Health Director

Phone

(859) 885-4149

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Stephen Davis, M.D.

  • Public Health & General Preventive Medicine Physician
  • Versailles, KY
  • NPI 1568703379
  Medicare reassignment
• Vicki L Vernon, ARNP

  • Women's Health Nurse Practitioner
  • Danville, KY
  • NPI 1295711893
  Medicare reassignment
• Sally Gay Siebert, FNP PNP

  • Pediatric Nurse Practitioner
  • Lexington, KY
  • NPI 1689665333
  NPD
• Jennifer Wyatt, RD

  • Registered Dietitian
  • Lexington, KY
  • NPI 1215693106
  NPD
• Christi Daugherty, RDH

  • Dental Hygienist
  • Nicholasville, KY
  • NPI 1891193579
  NPD (past)
• Rajiv I Bhavsar, M.D.

  • Internal Medicine Physician
  • Fullerton, CA
  • NPI 1477550648
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1861479206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E WALNUT ST",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561252",
            "telephone_number": "859-885-4149",
            "fax_number": "859-885-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E WALNUT ST",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561252",
            "telephone_number": "859-885-4149",
            "fax_number": "859-885-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSAMINE COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "GOOCH",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "859-885-4149",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20057014",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU",
            "identifier": "FLU0309",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Vaught LLC
• Jessamine County Association for Exceptional Citizens
• Jessamine County Board of Education
• Jessamine County Fiscal Court
• Jessamine County Health Department
• Jessamine County Homeless Coalition, Inc (The Center for Growth and Hope)
• Jessamine Eye Center, P.L.L.C.
• Jessamine Family Dentistry PLLC (Winchester Family Dentistry)
• Kendall Morgan Joest, MSN, FNP-C
• Casey Johns, LPCC

• State or Local Public Health Clinic/Center in Nicholasville, KY
• Providers in Nicholasville, KY by specialty
• State or Local Public Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.