Velocity Medical LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · New Castle, KY
NPI 1013352269 · NPPES record last updated Apr 20, 2020
Key facts
- NPI
- 1013352269
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- VELOCITY MEDICAL LLC
- Practice address
- 50 Adams St
New Castle, KY 40050-3022 - Phone
- (502) 262-2887
- NPI assigned
- May 1, 2013
- Organization subpart
- No
Authorized official
- Name
- Mrs. Melissa Joyner
- Title
- Owner
- Phone
- (423) 404-1994
Practitioners 26
-
Monica Grace Shoopman, MSN, FNP-C.
-
Elizabeth Sibley, FNP
-
Amy Young, FNP
-
Chelsea M Thacker, PA-C
-
Stephanie D Landes, FNP-BC
-
Valorie Marlow, FNP-BC
-
Amanda Chitwood, FNP-BC
-
Elizabeth Marlow, APRN
-
Whitney Marie Matchette, DNP-FNP-C
-
Erin Davis McNeal, N.P.
-
Sean Anderson, PA-C
-
Anthony Baird, PA-C
-
Ronda K Pyles, PA-C
-
Emily Lynn Widelock, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130701000460 | TN | Part B Supplier - Clinic/Group Practice | 1951541689 |
Receives reassigned benefits from 25 practitioners Practice locations: Clinton, TN; Jacksboro, TN |
National Provider Directory
Locations
150 Tanner Ln
Clinton, TN 37716
Phone (865) 457-4121
120 Tanner Pl
Clinton, TN 37716
Phone (865) 264-4012
2702 Jacksboro Pike
Jacksboro, TN 37757
Phone (423) 201-9937
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
50 Adams St
New Castle, KY 40050-3022
Mailing address
PO Box 787
Jacksboro, TN 37757-0787
Phone (423) 201-9937
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1532980 | Medicaid | TN |
Other names
- Neighborhood Urgent Care
Other providers in New Castle, KY
- Corbin Christine Jeffries
- Ronald M Koff
- New Castleidence Opco, LLC
- North Central District Health Dept.
- Krystal Marie Sharp
- Steven Devon White
All providers in New Castle, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.