Individual provider Active NPI

Marcia Atherton, APRN FNP-C

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1003360264
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010571 Issued in KY
Practice address
1048 Ashley St Ste 103a
Bowling Green, KY 42103-2449
Phone
(270) 599-0958
NPI assigned
Aug 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010571 KY Primary

Addresses

Primary practice location

1048 Ashley St Ste 103a
Bowling Green, KY 42103-2449

Mailing address

600 Cross Pointe Rd Ste a
Gahanna, OH 43230-6696
Phone (513) 725-2186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170516002369 KY Practitioner - Nurse Practitioner 4789951088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Cleanslate Medical Group of Kentucky PLLC 18 clinicians

Practice addresses (Care Compare)

3500 Villa PT
Suite 110a
Owensboro, KY 42303-7826
Phone (833) 505-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleanslate Medical Group of Kentucky PLLC CurrentSince Aug 15, 2023 Accepting new patients
Riverbend Physical Medicine & Rehabilitation, PLLC Family CurrentSince Feb 19, 2018 Accepting new patients
Total Wellness Centers, LLC Past Accepting new patients

Locations

1232 Adams St
Ste 200
Bowling Green, KY 42101
Phone (270) 467-7180

1500 Leestown Rd
Ste 110
Lexington, KY 40511
Phone (502) 657-2701

210 E Gray St
Ste 803
Louisville, KY 40202
Phone (502) 582-6900

6801 Dixie Hwy
Ste 132
Louisville, KY 40258
Phone (502) 657-2701

3500 Villa Pt
Ste 110A
Owensboro, KY 42303

1102 Triplett St
Ste 2100
Owensboro, KY 42303
Phone (270) 685-8235

59 Bobala Rd
Holyoke, MA 01040
Phone (413) 486-7819

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1003360264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CROSS POINTE RD STE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306696",
            "telephone_number": "513-725-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 ASHLEY ST STE 103A",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032449",
            "telephone_number": "270-599-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHERTON",
        "first_name": "MARCIA",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.