Scottsville Primary Care Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1920P Issued in KY

Legal business name

SCOTTSVILLE PRIMARY CARE CLINIC

Practice address

217 W Main St
Scottsville, KY 42164-1122

Phone

(270) 239-9355

Fax

(270) 239-9356

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Duke

Title

Patient Registration

Phone

(270) 239-9355

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip W Turner, MD

  • Emergency Medicine Physician
  • Leitchfield, KY
  • NPI 1295790004
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043399249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W MAIN ST",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421641122",
            "telephone_number": "270-239-9355",
            "fax_number": "270-239-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W MAIN ST",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421641122",
            "telephone_number": "270-239-9355",
            "fax_number": "270-239-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSVILLE PRIMARY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PATIENT REGISTRATION",
        "authorized_official_telephone_number": "270-239-9355",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1920P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cayden Ross, OD
• Mark D Ross, OD
• Angela M Samson, LPCA
• Jerry Moore Scott
• Scottsville Dental Center, PSC
• Michael David Shacklette, LPCC
• Joshua Dean Shaw
• Morgan Leigh Shivers, PT, DPT
• Ashley Simmons
• Brianna May Smith, C.D.

• Family Nurse Practitioner in Scottsville, KY
• Providers in Scottsville, 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 Aug 22, 2020; 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.