Active NPI
Amy Jeffers, CPS
- Prevention Professional
- Ashland, KY
National Provider Identifier
1922573518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 96
- Practice address
- 1212 Bath Ave
Ashland, KY 41101-2696 - Phone
- (606) 329-8588
- Fax
- (606) 329-8195
- NPI assigned
- Oct 10, 2018
- 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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 96 | KY | Primary |
Addresses
Primary practice location
1212 Bath Ave
Ashland, KY 41101-2696
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
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 |
|---|---|---|---|
| 96 | KY | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1922573518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 790",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411050790",
"telephone_number": "606-329-8588",
"fax_number": "606-329-8195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 BATH AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012696",
"telephone_number": "606-329-8588",
"fax_number": "606-329-8195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERS",
"first_name": "AMY",
"credential": "CPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-10",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "KY",
"license": "96",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.