Bluegrass Mobile Medical Services,LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1053225 Issued in KY

Legal business name

BLUEGRASS MOBILE MEDICAL SERVICES,LLC

Practice address

168 E Reynolds Rd Ste 130
Lexington, KY 40517-1317

Phone

(859) 554-5067

Fax

(859) 818-0324

NPI assigned

Mar 31, 2017

Last updated

Mar 14, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jane Alan Owens, DNP, APRN, FNP-CNPI 1639147218

Title

Owner,Administrator

Phone

(859) 797-1112

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jane Alan Owens, ARNP

  • Family Nurse Practitioner
  • Lexington, KY
  • NPI 1639147218
  Authorized official Same address or phone
• Larry M Owens, NRP

  • Emergency Medical Services (Emergency Medicine) Physician
  • Irvine, KY
  • NPI 1568000131
  NPD
• Jill Coles, APRN

  • Family Nurse Practitioner
  • Lexington, KY
  • NPI 1598247694
  NPD (past)
• Jacqueline M Fields, ARNP

  • Nurse Practitioner
  • Nicholasville, KY
  • NPI 1750319117
  NPD (past)

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615680000000",
    "number": "1932631629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 E REYNOLDS RD STE 130",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171317",
            "telephone_number": "859-554-5067",
            "fax_number": "859-818-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 E REYNOLDS RD STE 130",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171317",
            "telephone_number": "859-554-5067",
            "fax_number": "859-818-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS MOBILE MEDICAL SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-14",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER,ADMINISTRATOR",
        "authorized_official_telephone_number": "859-797-1112",
        "authorized_official_credential": "DNP, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1053225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100471130",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluegrass Internal Medicine and Nephrology
• Bluegrass Internal Medicine Group
• Bluegrass Medical Associates PSC
• Bluegrass Medical Group PSC
• Bluegrass Mental Health and Mental Retardation Board
• Bluegrass Newborn Specialists, PLC
• Bluegrass Newborn Specialists, PLC
• Bluegrass Nutrition Counseling
• Bluegrass Oral & Maxillofacial Surgery PSC
• Bluegrass Oral Pathology

• Family Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; 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.