Active NPI
Jewell B. Lay, FNP
- Family Nurse Practitioner
- Burkesville, KY
National Provider Identifier
1881674059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3474P
- Practice address
- 299 Glasgow Rd
Burkesville, KY 42717-9696 - Phone
- (270) 864-2511
- NPI assigned
- Jan 22, 2006
- Last updated
- Jul 8, 2007
- 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 | 3474P | KY | Primary |
Addresses
Primary practice location
299 Glasgow Rd
Burkesville, KY 42717-9696
Mailing address
3587 Nobob Rd
Glasgow, KY 42141-8831
Phone (270) 428-4067
Other names 1
- Jewell Burkhart Fleetwood
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3474P | KY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881674059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3587 NOBOB RD",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421418831",
"telephone_number": "270-428-4067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 GLASGOW RD",
"city": "BURKESVILLE",
"state": "KY",
"postal_code": "427179696",
"telephone_number": "270-864-2511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAY",
"first_name": "JEWELL",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3474P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEWELL",
"last_name": "FLEETWOOD",
"middle_name": "BURKHART",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Burkesville, KY
- Christian D Konsavage, M.D.
- Lake Cumberland District Health Department (Cumberland County Health Department)
- Lake Cumberland District Health Dept (Cumberland County High School)
- Lake Cumberland District Health Dept (Cumberland County Elementary School)
- Lake Cumberland District Health Dept (Cumberland County Middle School)
- Loy Family Practice
- Billie Loy
- Eric E Loy, MD
- Erica Nicole McWhorter-Hill, ARNP
- Megan Montgomery, CSW
Sources for this page
- 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.