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JONATHAN CHARLES BASTICK III
NPI 1679216170
Student in an Organized Health Care Education/Training Program in Louisville, KY

Active since April 14, 2022PECOS Enrolled
500 S PRESTON ST RM 305, LOUISVILLE, KY 40202(330) 416-1645 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan Charles Bastick Iii NPPES

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

JONATHAN CHARLES BASTICK III (NPI 1679216170) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679216170
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN CHARLES BASTICK III
Location Address500 S PRESTON ST RM 305Louisville, KY 40202-1702
Mailing Address500 S Preston St Rm 305Louisville, KY 40202-1702 · (330) 416-1645
Phone(330) 416-1645
Sole ProprietorNo
Enumeration DateApril 14, 2022
NPPES CertifiedApril 14, 2022
✔ NPI 1679216170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

500 S PRESTON ST RM 305, Louisville, KY 40202
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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)

Jonathan Charles Bastick Iii 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIANNE GRACE SCHULTZ
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (703) 677-1433
CHELSEA FATHAUER
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (812) 560-7611
QUENTIN VIRGIL WISE
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (323) 640-1105
SYMONE JORDAN
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (502) 852-5193
CALEB X HE
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (859) 878-5655
RAHAF ALREFAI
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (502) 810-4028
AUSTIN GREGORY CLARK
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (502) 202-0106
JOHN R DODDS
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (270) 339-1091

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 Jonathan Bastick's NPI number?

The NPI number for Jonathan Bastick is 1679216170. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Jonathan Bastick located?

Jonathan Bastick practices at 500 S Preston St Rm 305, Louisville, KY 40202. The listed phone number is (330) 416-1645.

What is Jonathan Bastick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonathan Bastick enrolled in Medicare?

Yes. Jonathan Bastick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Bastick was last updated on April 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.