Active NPI
East Kentucky Psychiatric Care, LLC
- Community/Behavioral Health Agency
- Campton, KY
National Provider Identifier
1104517358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- EAST KENTUCKY PSYCHIATRIC CARE, LLC
- Practice address
- 72 Allen LN
Campton, KY 41301-7899 - Phone
- (606) 225-2920
- NPI assigned
- May 18, 2023
- Last updated
- May 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristian Renee Allen, APRN
- Title
- Psychiatric Nurse Practitioner
- Phone
- (606) 359-1440
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
72 Allen LN
Campton, KY 41301-7899
Mailing address
PO Box 100
Campton, KY 41301-0100
Phone (606) 225-2920
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Campton, KY
- NPI 1023773132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684368000000",
"number": "1104517358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "CAMPTON",
"state": "KY",
"postal_code": "413010100",
"telephone_number": "606-225-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 ALLEN LN",
"city": "CAMPTON",
"state": "KY",
"postal_code": "413017899",
"telephone_number": "606-225-2920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST KENTUCKY PSYCHIATRIC CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "KRISTIAN",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
"authorized_official_telephone_number": "606-359-1440",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.