MRS. JACQUELYNN ANNE LIDDINGTON PAC
NPI 1326106873
Physician Assistant - Medical in Elizabethtown, KY

Q: What is Jacquelynn Liddington's NPI number?

The NPI number for Jacquelynn Liddington is 1326106873. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Q: What is Jacquelynn Liddington's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since December 05, 2006PECOS Enrolled

1239 WOODLAND DR STE 105, ELIZABETHTOWN, KY 42701(270) 765-7676(270) 982-9222 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Jacquelynn Anne Liddington Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACQUELYNN ANNE LIDDINGTON PAC (NPI 1326106873) is an individual medical provider in Elizabethtown, Kentucky, licensed in Kentucky (PA147) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326106873

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. JACQUELYNN ANNE LIDDINGTONCredential: PAC

Location Address1239 WOODLAND DR STE 105Elizabethtown, KY 42701-2770

Mailing Address2280 Cherry Spring RdCub Run, KY 42729-8629 · (270) 524-4257 · Fax (270) 982-9222

Phone(270) 765-7676

Fax(270) 982-9222

Sole ProprietorNo

Enumeration DateDecember 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1326106873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in KY · PA147

1239 WOODLAND DR STE 105, Elizabethtown, KY 42701

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacquelynn Anne Liddington Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelynn Liddington's NPI number?

The NPI number for Jacquelynn Liddington is 1326106873. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Jacquelynn Liddington located?

Jacquelynn Liddington practices at 1239 Woodland Dr Ste 105, Elizabethtown, KY 42701. The listed phone number is (270) 765-7676.

What is Jacquelynn Liddington's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jacquelynn Liddington enrolled in Medicare?

Yes. Jacquelynn Liddington is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquelynn Liddington was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.