NPIMap

Organization Active NPI

Fast Pace Kentucky, PLLC

Doing business as Fast Pace Health

  • Rural Health Clinic/Center
  • London, KY
National Provider Identifier
1063295442
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FAST PACE KENTUCKY, PLLC
Doing business as
Fast Pace Health
Practice address
1649 Highway 192 W
London, KY 40741-1674
Phone
(931) 253-1110
Fax
(931) 253-1110
NPI assigned
Aug 17, 2023
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Christy Littlejohn
Title
Manager
Phone
(931) 253-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1649 Highway 192 W
London, KY 40741-1674

Mailing address

PO Box 306505
Nashville, TN 37230-6505
Phone (931) 253-1110

Other names 1

  • Fast Pace Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250306001937 KY Part A Provider - Rural Health Clinic 0143525998 Practice locations: London, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063295442. Details of each certification follow.

Rural health clinic certification: CCN B03935

Legal name
FAST PACE KENTUCKY, PLLC
Doing business as
FAST PACE HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 20, 2023
Last certification
Nov 20, 2023
Ownership / control type
1B
Organization structure
OtherProprietary
Enrollment address
1649 Highway 192 W
Ste 1
London, KY 40741-1674

National Provider Directory

National Provider Directory
Tax ID family
Fast Pace Kentucky PLLC44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Locations

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melissa Harlan Individual Operational/Managerial ControlDirector Jan 1, 2024 100%
Barry Louis Taylor Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2019 33.3%
Christy Littlejohn Individual Operational/Managerial ControlManager Jan 1, 2024 100%
Karen Denise Daingerfield Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2019 33.3%
Dana Kay Martin Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2019 33.3%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1063295442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306505",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306505",
            "telephone_number": "931-253-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 HIGHWAY 192 W",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411674",
            "telephone_number": "931-253-1110",
            "fax_number": "931-253-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST PACE KENTUCKY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "LITTLEJOHN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "931-253-1110"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fast Pace Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.