Individual provider Active NPI

Jo Ann Lemmons, APRN

  • Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1962481408
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3002103 Issued in KY
Practice address
1600 Breckenridge St
Davis County Health Center
Owensboro, KY 42303-1055
Phone
(270) 686-7744
Fax
(270) 926-8677
NPI assigned
Jan 12, 2006
Last updated
Mar 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3002103 KY Primary

Addresses

Primary practice location

1600 Breckenridge St
Davis County Health Center
Owensboro, KY 42303-1055

Mailing address

PO Box 309
Green River District Health Department
Owensboro, KY 42302-0309
Phone (270) 686-7744

Other identifiers 1

IdentifierTypeStateIssuer
7100040280MedicaidKY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3002103KYMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1962481408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "address_2": "GREEN RIVER DISTRICT HEALTH DEPARTMENT",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423020309",
            "telephone_number": "270-686-7744",
            "fax_number": "270-926-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BRECKENRIDGE ST",
            "address_2": "DAVIS COUNTY HEALTH CENTER",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031055",
            "telephone_number": "270-686-7744",
            "fax_number": "270-926-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMMONS",
        "first_name": "JO",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3002103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100040280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.