MRS. JENNIFER KAYE WILKERSON (NPI# 1013231786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013231786 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER KAYE WILKERSON |
| Credential | APRN |
| Practice Address |
318 S 7th St Mayfield KY 42066-2337 |
| Practice Telephone | 2702513223 |
| Practice Fax Number | 2702513220 |
| Mailing Telephone | 2702513223 |
| Mailing Fax Number | 2702513220 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2018-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3006410 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 3006410 GRP | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 6410P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3006410 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM MEDICAID | 00587647 | 01 |
| KY | NEW APRN # 01-10-11 | 3006410 | 01 |
| KY | DEA | MW2354025 | 01 |
| KY | WELLCARE | 618423 | 01 |
| KY | 7100113990 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669888731 | Jennifer Wilkerson | Registered Nurse | 2740 College Ave, Conway, AR 72034-6141 | 2014-07-09 |
| 1437414562 | Jennifer Ann Wilkerson | Nurse Practitioner | 1505 E Main St, Stigler, OK 74462 | 2012-07-04 |
| 1982617239 | Jennifer Lynn Wilkerson | Internal Medicine | 3417 Gaston Ave, Suite 700, Dallas, TX 75246-2016 | 2006-08-15 |
| Street Address |
318 S 7TH ST |
| City | MAYFIELD |
| State | KY |
| Zip Code | 42066-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203872 | Tanya S Goins-harmon | Nurse Practitioner | 318 S 7th St, Mayfield, KY 42066-2337 | 2005-05-24 |
| 1245844166 | Alexandria Brooke Fry | Nurse Practitioner | 318 S 7th St, Mayfield, KY 42066-2337 | 2020-09-08 |
| 1174864516 | Amanda Denise Kimbler | Nurse Practitioner | 318 S 7th St, Mayfield, KY 42066-2337 | 2013-03-11 |
| 1427320811 | Melissa A Moore | Nurse Practitioner | 318 S 7th St, Mayfield, KY 42066 | 2012-02-01 |
| 1982845889 | Western Ky Family Health Care Inc | Family Medicine | 318 S 7th St, Mayfield, KY 42066-2337 | 2009-03-23 |
| 1982607610 | Jeffrey A Carrico | Family Medicine | 318 S 7th St, Mayfield, KY 42066-2337 | 2005-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031959 | Snh Derby Tenant LLC | Assisted Living Facility | 1517 West Broadway Street, Mayfield, KY 42066 | 2019-09-10 |
| 1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
| 1699288936 | Kimberly Kaye Gooch | Developmental Therapist | 3907 State Route 303, Mayfield, KY 42066 | 2017-11-08 |
| 1538604657 | Courtney L Coleman | Nurse Practitioner | 1029 Medical Center Cir Ste 200, Mayfield, KY 42066 | 2016-12-28 |
| 1659814721 | Bertha Workman | Voluntary or Charitable | 331 South 7th Street, Mayfield, KY 42066 | 2016-11-22 |
| 1699174052 | Laura Dassing | Counselor | 1325 Hwy 45 N, Mayfield, KY 42066 | 2014-08-21 |
| 1275947905 | Wkda Services LLC | Community/Behavioral Health | 1325 U S Hwy 45n, Mayfield, KY 42066 | 2014-06-20 |
| 1538594247 | Young Healthcare LLC | Chiropractor | 1011 Paris Road #341, Mayfield, KY 42066 | 2013-09-12 |
| 1811335649 | Donald Bennett Dowdy | Dentist | 236 N. 6th St., Mayfield, KY 42066 | 2013-06-14 |
| 1578822623 | Wanda Bingham Marshall | Counselor | 325 South 8th Street, West Kentucky Counseling Center, Mayfield, KY 42066 | 2012-05-10 |
| Find all providers in zip 42066 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407824063 | Graves Emergency Group LLC | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2006-03-09 |
| 1942203872 | Tanya S Goins-harmon | Nurse Practitioner | 318 S 7th St, Mayfield, KY 42066-2337 | 2005-05-24 |
| 1538615570 | Heather D Lyell | Nurse Practitioner | 1029 Medical Center Cir, Suite 306, Mayfield, KY 42066-1189 | 2016-08-30 |
| 1710332523 | Bethanie M Apperson | Nurse Practitioner | 1029 Medical Center Cir, Suite 200 & Suite 401b, Mayfield, KY 42066-1189 | 2016-04-29 |
| 1053779587 | Team Health Usa, LLC | Nurse Practitioner | 1011 Paris Rd, Suite 341, Mayfield, KY 42066-3306 | 2016-01-28 |
| 1417327008 | Mary Graham | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2015-09-25 |
| 1144645441 | Sarah Wilson | Nurse Practitioner | 1029 Medical Center Cir, Suite 306, Mayfield, KY 42066-1189 | 2014-02-23 |
| 1023357928 | Sarah Darnell | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2013-02-12 |
| 1457586638 | Carla Ann Davis | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2009-05-18 |
| 1922262179 | Jackson Purchase Pulmonary Medicine Pllc | Nurse Practitioner | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2008-07-16 |
| Find all providers in MAYFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.