University of Kentucky

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

UNIVERSITY OF KENTUCKY

Doing business as

Phyllis D Corbitt Community Health Center

Practice address

317 E Main St
Wilmore, KY 40390-1323

Phone

(859) 323-7851

NPI assigned

Jan 26, 2015

Last updated

Jan 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Delre

Title

Clinical Coordinator

Phone

(859) 323-7581

Specialties & licenses 1

Addresses

Other names 1

• Phyllis D Corbitt Community Health Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1043600349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 PETERSON SERVICE BLDG",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405060001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E MAIN ST",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403901323",
            "telephone_number": "859-323-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "DELRE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "859-323-7581"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phyllis D Corbitt Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Kaye Sturgeon, APRN
• Hope Tellifero
• Savannah Thomas, DSW, LCSW
• Alexander Tsiporenko, PTA
• United Methodist Retirement Community, Inc. (Wesley Village)
• Melina Vittos, MS, CCC-SLP
• Lisa Thompson Wells, M.S., CCC-SLP
• Wilmore Behavioral Services LLC
• Wilmore Pharmacist Group, LLC (Med-Save Wilmore LTC)
• Wilmore Pharmacist Group, LLC (Med-Save Wilmore)

• Nurse Practitioner in Wilmore, KY
• Providers in Wilmore, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.