Kentucky Urgent Care Walk-in Clinic
Organization Active NPI Urgent Care Clinic/Center · Lexington, KY
NPI 1063123735 · NPPES record last updated May 22, 2023
Key facts
- NPI
- 1063123735
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- KENTUCKY URGENT CARE WALK-IN CLINIC
- Practice address
- 241 Pasadena Dr Ste 110
Lexington, KY 40503-3061 - Phone
- (313) 948-3055
- NPI assigned
- Dec 13, 2022
- Organization subpart
- No
Authorized official
- Name
- Nancy Molnar
- Title
- Business Operations Manager
- Phone
- (313) 948-3055
Practitioners 17
-
Morgan Morris, APRN
-
Jackson Stewart, NP
-
Joseph Eric Deskins Jr., APRN
-
Linda Dunigan, APRN
-
Jennifer D Gordon, FNP
-
Tamara L Hull, MSN, APRN, FNP-C
-
Marcie Leigh Johnson, APRN
-
David L. Manus, ARNP
-
Katherine Matcheswala, MSN, APRN, FNP, BSN
-
Olivia Noelle Prather McFadden, MSN, APRN
-
Janet Rae McFarland, APRN
-
Mary Perry, MSN, FNP
-
Megan Rollins, MSN, APRN, FNP-C
-
Gwen Carnegie, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2279249 | Kentucky Urgent Care Walk-in Clinic | Certificate of waiver | Mar 30, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230327002341 | KY | Part B Supplier - Clinic/Group Practice | 8123492535 |
Receives reassigned benefits from 17 practitioners Practice locations: Lexington, KY |
National Provider Directory
Locations
241 Pasadena Dr
Lexington, KY 40503
Phone (859) 287-2627
241 Pasadena Dr
Ste 110
Lexington, KY 40503
Phone (859) 287-2627
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
241 Pasadena Dr Ste 110
Lexington, KY 40503-3061
Mailing address
14671 Telegraph Rd
Redford, MI 48239-3300
Phone (313) 948-3055
Other providers in Lexington, KY
- Kentucky Services, LLC
- Kentucky Sleep Center, LLC
- Kentucky Sports Medicine Clinic
- Kentucky Technical Services, PSC
- Kentucky Therapy Solutions, LLC
- Kentuckyone Health Medical Group, Inc.
- Kentuckyone Health Medical Group, Inc.
- Kentuckyone Health Medical Group, Inc.
- Jill C Keogh
- Alexandra Paige Keough
All providers in Lexington, KY · Urgent Care Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.