Independence Family Practice P S C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22978 Issued in KY

Legal business name

INDEPENDENCE FAMILY PRACTICE P S C

Practice address

5290 Madison Pike
Ste 100
Independence, KY 41051

Phone

(859) 363-8600

Fax

(859) 960-0003

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

John Franklin Allnutt, MD

Title

President

Phone

(859) 363-8600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1013192376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 MADISON PIKE",
            "address_2": "STE 100",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "41051",
            "telephone_number": "859-363-8600",
            "fax_number": "859-960-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 MADISON PIKE",
            "address_2": "STE 100",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "41051",
            "telephone_number": "859-363-8600",
            "fax_number": "859-960-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE FAMILY PRACTICE P S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "ALLNUTT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-363-8600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "22978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000370204",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Hicks
• Sabrina Nicole Hogle
• Courtney Houston, FPSS
• Benjamin J Howard, DC
• Independence Chiropractic, Inc.
• Independence Fire District
• Independence Urgent Care LLC
• Crystal Jackson
• Katherine Leeann Jamison, ARNP, RN
• Areege Jendi

• Family Medicine Physician in Independence, KY
• Providers in Independence, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.