Jessica Lee Donahue, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

3329 Issued in KY

Practice address

108 New Glendale Rd
Elizabethtown, KY 42701-1023

Phone

(270) 769-1601

Fax

(270) 765-7274

NPI assigned

Dec 10, 2014

Last updated

Dec 10, 2014By the provider in NPPES

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

Other names 1

• Miss Jessica Lee Bartley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1871991679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10306 MEADOWVIEW DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402723864",
            "telephone_number": "502-548-7580",
            "fax_number": "270-765-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NEW GLENDALE RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011023",
            "telephone_number": "270-769-1601",
            "fax_number": "270-765-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "KY",
            "license": "3329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BARTLEY",
            "middle_name": "LEE",
            "prefix": "MISS",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Alice Disselkamp, PA-C
• Rodney Earl Dixon, CRNA
• Wanda Carpenter Dobbins, LCSW
• Dolphin Hills Family Healthcare
• David Thomas Dolwig, DC
• Amy Dones, PHARM D
• Vicki C Donnelly, RPH
• Lize-Mari Dorfling, M.D.
• Erika Renee Dorsett
• Alexis Dorsey

• Dental Hygienist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Dental Hygienist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.