Organization Active NPI

Wethington Telemedicine LLC

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1043982820
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
WETHINGTON TELEMEDICINE LLC
Practice address
3271 Alvey Park Dr W Ste H
Owensboro, KY 42303-2467
Phone
(270) 240-2344
NPI assigned
Sep 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Brittany Wethington, FNPNPI 1346710183
Title
Owner
Phone
(270) 240-2344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3271 Alvey Park Dr W Ste H
Owensboro, KY 42303-2467

Mailing address

3271 Alvey Park Dr W Ste H
Owensboro, KY 42303-2467
Phone (270) 240-2344

Other identifiers 3

IdentifierTypeStateIssuer
7100794920MedicaidKY
7100883250MedicaidKY
S06472326MedicaidKY

Other names 1

  • Wethington Telemedicine LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wethingtontelemed@outlook.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220208000572 KY Part B Supplier - Clinic/Group Practice 4981097383 Receives reassigned benefits from 3 practitioners
Practice locations: Owensboro, KY

National Provider Directory

National Provider Directory

Locations

2625 Frederica St
Owensboro, KY 42301

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1043982820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 ALVEY PARK DR W STE H",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423032467",
            "telephone_number": "270-240-2344",
            "fax_number": "270-240-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 ALVEY PARK DR W STE H",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423032467",
            "telephone_number": "270-240-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WETHINGTON TELEMEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "WETHINGTON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-240-2344",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100794920",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100883250",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S06472326",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wethingtontelemed@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2248 Daniels Ln",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423039649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wethington Telemedicine LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wethington Telemedicine LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.