Individual provider Active NPI

Alyssa Sue Howell, APRN

  • Family Nurse Practitioner
  • Madisonville, KY
National Provider Identifier
1114684065
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016872 Issued in KY
Practice address
1851 N Main St
Madisonville, KY 42431-9024
Phone
(270) 825-7268
NPI assigned
Nov 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1138312 KY
Family Nurse Practitioner 363LF0000X 3016872 KY Primary

Addresses

Primary practice location

1851 N Main St
Madisonville, KY 42431-9024

Mailing address

731 Chickasaw Dr
Madisonville, KY 42431-4105
Phone (270) 836-0776

Other practice location 1

250 Park St
Bowling Green, KY 42101-1795
Phone (270) 745-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1138312KYMDRegistered Nurse
3016872KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Deaconess Medical Group Inc Family Current Accepting new patients
Baptist Health Deaconess Medical Group Inc Past Accepting new patients

Locations

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

1851 N Main St
Madisonville, KY 42431
Phone (270) 821-7739

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

1010 Medical Center Dr
Powderly, KY 42367
Phone (270) 338-8000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1114684065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 CHICKASAW DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424314105",
            "telephone_number": "270-836-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319024",
            "telephone_number": "270-825-7268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Park St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421011795",
            "country_code": "US",
            "telephone_number": "270-745-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "ALYSSA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1138312",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

Verify at the official NPI Registry.