Organization Active NPI

J. R. Holdings, Inc

  • Nurse Practitioner
  • Henderson, KY
National Provider Identifier
1972881324
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
J. R. HOLDINGS, INC
Practice address
612 Barrett Blvd
Henderson, KY 42420-2620
Phone
(270) 844-8232
Fax
(270) 844-8238
NPI assigned
Aug 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Mrs. Jennifer Todd
Title
Office Manager/Owner
Phone
(270) 844-8232

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

612 Barrett Blvd
Henderson, KY 42420-2620

Mailing address

612 Barrett Blvd
Henderson, KY 42420-2620
Phone (270) 844-8232

Other identifiers 1

IdentifierTypeStateIssuer
7100179140MedicaidKY

Other names 1

  • St. Camillus Urgent Care of Henderson Doing business as

National Provider Directory

National Provider Directory

Locations

612 Barret Blvd
Henderson, KY 42420
Phone (270) 844-8232

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1972881324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 BARRETT BLVD",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202620",
            "telephone_number": "270-844-8232",
            "fax_number": "270-844-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 BARRETT BLVD",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202620",
            "telephone_number": "270-844-8232",
            "fax_number": "270-844-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. R. HOLDINGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER/OWNER",
        "authorized_official_telephone_number": "270-844-8232",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100179140",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Camillus Urgent Care of Henderson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.