Cova Teresa Stidham, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3006909 Issued in KY

Practice address

1895 Elizabethtown Rd.
Leitchfield, KY 42754-9138

Phone

(270) 230-0182

Fax

(270) 230-0014

NPI assigned

May 10, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Commonwealth Health Corp, Inc.

  dba Quick Care Clinic

  • Family Nurse Practitioner
  • Bowling Green, KY
  • NPI 1427195247
  NPD (past)

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1033401088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 ELIZABETHTOWN RD.",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427549138",
            "telephone_number": "270-230-0182",
            "fax_number": "270-230-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 ELIZABETHTOWN RD.",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427549138",
            "telephone_number": "270-230-0182",
            "fax_number": "270-230-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIDHAM",
        "first_name": "COVA",
        "middle_name": "TERESA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Renee Spalding, OTR L
• Diana Jean Spratt
• Spring View Health & Rehab Center, Inc.
• Spring View Opco LLC (Spring View Health & Rehab Center)
• Randi Jean Stewart, RBT
• Elizabeth S Stivers, M.D.
• Riley Belle Stroop, DPT
• Victoria Jordan Swoboda, MS, OTR/L
• David Franklin Tabor
• Debra Ann Taylor, APRN

• Family Nurse Practitioner in Leitchfield, KY
• Providers in Leitchfield, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.