Organization Active NPI

FH&L Family Practice LLC

  • Family Nurse Practitioner
  • Edmonton, KY
National Provider Identifier
1063809523
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FH&L FAMILY PRACTICE LLC
Practice address
109 Sartin Dr
Edmonton, KY 42129-8170
Phone
(270) 670-5960
NPI assigned
Apr 22, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Angela Jessie, APRNNPI 1720050818
Title
Owner
Phone
(270) 432-2444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X

Addresses

Primary practice location

109 Sartin Dr
Edmonton, KY 42129-8170

Mailing address

PO Box 26
Edmonton, KY 42129-0026
Phone (270) 432-2444

Other practice location 1

903 W Stockton St
Building 1A
Edmonton, KY 42129-8120
Phone (270) 432-2444

National Provider Directory

National Provider Directory

Locations

903 W Stockton St
Bldg 1A
Edmonton, KY 42129
Phone (270) 432-2444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1063809523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "EDMONTON",
            "state": "KY",
            "postal_code": "421290026",
            "telephone_number": "270-432-2444",
            "fax_number": "270-432-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SARTIN DR",
            "city": "EDMONTON",
            "state": "KY",
            "postal_code": "421298170",
            "telephone_number": "270-670-5960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 W Stockton St",
            "address_2": "Building 1A",
            "address_purpose": "LOCATION",
            "city": "Edmonton",
            "state": "KY",
            "postal_code": "421298120",
            "country_code": "US",
            "telephone_number": "270-432-2444",
            "fax_number": "270-432-2445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FH&L FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "JESSIE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-432-2444",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.