Donna Marie Bragg, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3012835 Issued in KY

Practice address

92 Plaza Dr
Lawrenceburg, KY 40342-9056

Phone

(502) 839-3805

Fax

(502) 839-3806

NPI assigned

Nov 5, 2018

Last updated

Jul 24, 2024By 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 identifiers 1

Other names 1

• Donna Marie Jackson Former name

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A1 Health Care Clinic

  • Rural Health Clinic/Center
  • Lebanon, KY
  • NPI 1982113148
  Medicare reassignment NPD
• Brock Medical, LLC

  dba First Care Clinics, LLC

  • Nurse Practitioner
  • London, KY
  • NPI 1023379815
  Medicare reassignment NPD
• Fast Pace Kentucky PLLC

  dba Fast Pace Urgent Care

  • Family Nurse Practitioner
  • Franklin, KY
  • NPI 1457716706
  Medicare reassignment NPD
• Hope Primary & Urgent Care of Williamsburg PLLC

  • Rural Health Clinic/Center
  • Williamsburg, KY
  • NPI 1851058028
  Medicare reassignment NPD
• Hope Primary & Urgent Care PLLC

  • Rural Health Clinic/Center
  • Stearns, KY
  • NPI 1134606403
  Medicare reassignment NPD
• Ultra Health LLC

  dba Ultra Health Provders

  • Geriatric Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1922469543

  KY

  Medicare reassignment NPD
• Preferred Healthcare Incorporated

  • Rural Health Clinic/Center
  • Williamsburg, KY
  • NPI 1740526888
  Medicare reassignment
• Fast Pace Kentucky PLLC

  dba Fast Pace Health

  • Rural Health Clinic/Center
  • Corbin, KY
  • NPI 1669256913
  NPD
• Fast Pace Kentucky, PLLC

  dba Fast Pace Health

  • Rural Health Clinic/Center
  • Spindale, NC
  • NPI 1942027891
  NPD

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1952879322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425390044",
            "telephone_number": "606-669-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 PLAZA DR",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403429056",
            "telephone_number": "502-839-3805",
            "fax_number": "502-839-3806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 E Main St Unit 8",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "KY",
            "postal_code": "400338696",
            "country_code": "US",
            "telephone_number": "270-321-4616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "686 S Highway 25 W",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "KY",
            "postal_code": "407691604",
            "country_code": "US",
            "telephone_number": "606-549-5052",
            "fax_number": "606-549-2718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1064 N College St",
            "address_purpose": "LOCATION",
            "city": "Harrodsburg",
            "state": "KY",
            "postal_code": "403302208",
            "country_code": "US",
            "telephone_number": "859-734-3057",
            "fax_number": "859-734-3077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100582040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "JACKSON",
            "middle_name": "MARIE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Allen Berry, PT
• Bierly Family Chiropractic Inc.
• Kevin Jay Bierly, D.C.
• Bluegrass MRI LLC
• Erika Shea Bottom
• Bridge of Hope
• Bradley Hamilton Briscoe, PTA
• Lea H. Briscoe, D.M.D.
• Angela Michele Buck, APRN
• Michael Kyle Burleson, PHARMD

• Family Nurse Practitioner in Lawrenceburg, KY
• Providers in Lawrenceburg, 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 Jul 24, 2024; 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.

Verify at the official NPI Registry.