MRS. JENNIFER L CARRICO (NPI# 1114383981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114383981 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER L CARRICO |
| Credential | APRN |
| Practice Address |
1111 Medical Center Cir Mayfield KY 42066-1194 |
| Practice Telephone | 2702514040 |
| Practice Fax Number | 8554300335 |
| Mailing Telephone | 2702514040 |
| Mailing Fax Number | 8554300335 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3010022 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508119751 | Jennifer Marie Carrico | Physical Therapist | 600 Fort St, Suite 100, Port Huron, MI 48060 | 2012-10-24 |
| Street Address |
1111 MEDICAL CENTER CIR |
| City | MAYFIELD |
| State | KY |
| Zip Code | 42066-1194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162458 | Joseph C. Slaughter | Internal Medicine | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2005-05-24 |
| 1992254288 | Jackson Purchase Pulmonary Medicine Pllc | Nurse Practitioner | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2016-09-27 |
| 1902189491 | Michelle Ann Jewell | Nurse Practitioner | 1111 Medical Center Cir, Mayfield, KY 42066 | 2011-09-21 |
| 1912216532 | Pinelake Physician Practice LLC | Family Medicine | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2010-09-30 |
| 1104147891 | Siddharth Patel | Pediatrics | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2010-06-16 |
| 1255650479 | Pinelake Physician Practice LLC | Otolaryngology | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2010-05-27 |
| 1942535281 | Pinelake Physician Practice, LLC | Durable Medical Equipment & Medical Supplies | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2009-10-05 |
| 1346478344 | Pooja Parshotam Makhija | Pediatrics | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2009-06-29 |
| 1972738839 | Pinelake Physician Practice, LLC | Surgery | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2009-05-21 |
| 1295960532 | Pinelake Physician Practice, LLC | Family Medicine | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2009-05-15 |
| Find all providers in the same location | ||||
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528686706 | Amanda Victoria Greer-arthur | Nurse Practitioner | 814 Pine St, Mayfield, PA 18433-2134 | 2020-07-14 |
| 1538604657 | Courtney L Coleman | Nurse Practitioner | 1029 Medical Center Cir Ste 200, Mayfield, KY 42066 | 2016-12-28 |
| 1649726670 | Allison Mcclanahan | Nurse Practitioner | 1251 Paris Rd, Mayfield, KY 42066-4989 | 2016-08-30 |
| 1972693513 | Patricia Lynn Bushor | Nurse Practitioner | 160 Sayre Dr, Mayfield, KY 42066-1945 | 2006-10-13 |
| 1639131246 | Purchase Gastroenterology Associates Psc | Nurse Practitioner | 1029 Medical Center Circle, Ste 306, Mayfield, KY 42066 | 2006-04-06 |
| 1245844166 | Alexandria Brooke Fry | Nurse Practitioner | 318 S 7th St, Mayfield, KY 42066-2337 | 2020-09-08 |
| 1558988014 | Tiffany Newhouse | Nurse Practitioner | 1251 Paris Rd, Mayfield, KY 42066-4989 | 2020-07-01 |
| 1992254288 | Jackson Purchase Pulmonary Medicine Pllc | Nurse Practitioner | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2016-09-27 |
| 1841650975 | Williams Nurse Practitioner Group | Nurse Practitioner | 110 S 9th St, Mayfield, KY 42066-2208 | 2016-03-02 |
| 1609217868 | Stone Family Practice Pllc | Nurse Practitioner | 1029 Medical Center Cir, 200, Mayfield, KY 42066-1189 | 2013-07-16 |
| 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.