Active NPI
Jessica Wilson, APRN
- Adult Health Nurse Practitioner
- Lexington, KY
National Provider Identifier
1912447616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 3003297
- Practice address
- 740 S Limestone J401
Lexington, KY 40536-0001 - Phone
- (859) 323-5661
- Fax
- (859) 257-4999
- NPI assigned
- Feb 28, 2017
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 3003297 | KY | Primary |
Addresses
Primary practice location
740 S Limestone J401
Lexington, KY 40536-0001
Mailing address
740 S Limestone J401
Lexington, KY 40536-0001
Phone (859) 323-5661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492041600000",
"number": "1912447616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 S LIMESTONE J401",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360001",
"telephone_number": "859-323-5661",
"fax_number": "859-257-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 S LIMESTONE J401",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360001",
"telephone_number": "859-323-5661",
"fax_number": "859-257-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JESSICA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-28",
"last_updated": "2017-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KY",
"license": "3003297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.