Organization Active NPI

Persuaded Health Care, LLC

  • Family Nurse Practitioner
  • Middlesboro, KY
National Provider Identifier
1063889582
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16500 Issued in KY
Legal business name
PERSUADED HEALTH CARE, LLC
Practice address
123 N 19TH St, 2ND Floor
Middlesboro, KY 40965-4096
Phone
(606) 248-0507
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Samuel B Bayless, MSN-FNP-BC
Title
Owner
Phone
(606) 248-0507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 16500 KY Primary

Addresses

Primary practice location

123 N 19TH St, 2ND Floor
Middlesboro, KY 40965-4096

Mailing address

PO Box 1978
Middlesboro, KY 40965-3978
Phone (606) 248-0507

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1063889582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1978",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409653978",
            "telephone_number": "606-248-0507",
            "fax_number": "606-248-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N 19TH ST, 2ND FLOOR",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409654096",
            "telephone_number": "606-248-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSUADED HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "BAYLESS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-248-0507",
        "authorized_official_credential": "MSN-FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "16500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.