Active NPI
Jordan Palmer, HOLISTIC HEALTH
- Health Educator
- Lexington, KY
National Provider Identifier
1871313890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 4384 Clearwater Way Ste 190
Lexington, KY 40515-6493 - Phone
- (859) 403-3385
- NPI assigned
- Oct 14, 2024
- Last updated
- Apr 24, 2025
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | NU | ||
| Naturopath | 175F00000X | NU | ||
| Homeopath | 175L00000X | NU | ||
| Obesity Medicine (Psychiatry & Neurology) Physician | 2084B0002X | 124197182 | KY | |
| Behavior Analyst | 103K00000X | NU | ||
| Health Educator | 174H00000X | NU | Primary | |
| Health & Wellness Coach | 171400000X | NU |
Addresses
Primary practice location
4384 Clearwater Way Ste 190
Lexington, KY 40515-6493
Mailing address
4384 Clearwater Way Ste 190
Lexington, KY 40515-6493
Phone (859) 403-3385
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 |
|---|---|---|---|
| 124197182 | KY | MD | Obesity Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rewind Medical, LLC | Health & Wellness Coach | Current | Accepting new patients |
Locations
4384 Clearwater Way
Ste 190
Lexington, KY 40515
Phone (859) 403-3385
Organizations & group practices 1
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 Rewind Health & Wellness
- Adult Health Nurse Practitioner
- Lexington, KY
- NPI 1902668841
Health & Wellness Coach
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1871313890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4384 CLEARWATER WAY STE 190",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405156493",
"telephone_number": "859-403-3385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4384 CLEARWATER WAY STE 190",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405156493",
"telephone_number": "859-403-3385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "JORDAN",
"name_prefix": "Prof.",
"credential": "HOLISTIC HEALTH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-14",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "175L00000X",
"taxonomy_group": "",
"desc": "Homeopath",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084B0002X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Obesity Medicine",
"state": "KY",
"license": "124197182",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
- Palliative Care Center of the Bluegrass Inc. (Bluegrass Palliative Care)
- Amanda Joann Palmer, MD
- Ashley M Palmer, LCSW
- Beckett Palmer, LCSW
- Emma Palmer, DMD
- Kayla Marie Palmer, BACHELORS
- Tonisha Nokomas Palmer
- Madison R Palmiero, OTR/L
- Carlos Daniel Palomino, MD
- Palpating Palms Massage Center LLC (Malama Massage Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.