NPIMap

Organization Active NPI

Mag Medical

  • Family Nurse Practitioner
  • Hyden, KY
National Provider Identifier
1063766012
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006479 Issued in KY
Legal business name
MAG MEDICAL
Practice address
21154 Hwy 421
Hyden, KY 41749
Phone
(606) 672-1144
Fax
(606) 672-1145
NPI assigned
Oct 30, 2012
Last updated
Oct 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Ms. Paula Fields, APRN
Title
Co-Owner
Phone
(606) 672-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3006479 KY Primary

Addresses

Primary practice location

21154 Hwy 421
Hyden, KY 41749

Mailing address

21154 Hwy 421
Hyden, KY 41749
Phone (606) 672-1144

National Provider Directory

National Provider Directory
Tax ID family
Mag Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1063766012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21154 HWY 421",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "41749",
            "telephone_number": "606-672-1144",
            "fax_number": "606-672-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21154 HWY 421",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "41749",
            "telephone_number": "606-672-1144",
            "fax_number": "606-672-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAG MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "606-672-1144",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyden, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.