Active NPI
Wethington Telemedicine LLC
- Family Nurse Practitioner
- Owensboro, KY
National Provider Identifier
1043982820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brittany Wethington, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100794920 | Medicaid | KY | |
| 7100883250 | Medicaid | KY | |
| S06472326 | Medicaid | KY |
Other names 1
- Wethington Telemedicine LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Owensboro, KY
- NPI 1346710183
-
- Family Nurse Practitioner
- Morgantown, KY
- NPI 1932961653
-
- Family Nurse Practitioner
- Owensboro, KY
- NPI 1750080289
-
- Family Nurse Practitioner
- Owensboro, KY
- NPI 1710827126
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.