Active NPI
Terri D Congleton, ARNP
- Family Nurse Practitioner
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4975P
- Practice address
- 2811 New Hartford Road
Suite B
Owensboro, KY 42303-1320 - Phone
- (270) 215-0234
- Fax
- (270) 215-0316
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71002271A | IN | |
| Family Nurse Practitioner | 363LF0000X | 4975P | KY | Primary |
Addresses
Primary practice location
2811 New Hartford Road
Suite B
Owensboro, KY 42303-1320
Mailing address
2811 New Hartford Rd Ste B
Owensboro, KY 42303-1384
Phone (270) 215-0234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070627000075 | KY | Practitioner - Nurse Practitioner | 7911006812 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Owensboro Health, Inc
Practice addresses (Care Compare)
1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845
2811 New Hartford Rd
Suite B
Owensboro, KY 42303-1384
Phone (270) 215-0234
Hospital & facility affiliations
- Family Home Health Care, LLC Dba Adoration Home Health
- Owensboro Health Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002271A | IN | MD | Nurse Practitioner |
| 4975P | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrico Congleton Family Practice, LLC | Nurse Practitioner | Current | Accepting new patients |
| PSF PLLC | Nurse Practitioner | Past | Accepting new patients |
Locations
2811 New Hartford Rd
Ste B
Owensboro, KY 42303
Phone (270) 215-0234
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HGADCA/Endpoint/HGADCA
- https://fhir4.healow.com/fhir/r4/HGADCA
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.
-
- Nurse Practitioner
- Owensboro, KY
- NPI 1750665162
KY, Nurse Practitioner
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Owensboro, KY
- NPI 1285604140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1124129465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 NEW HARTFORD RD STE B",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423031384",
"telephone_number": "270-215-0234",
"fax_number": "270-215-0316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 NEW HARTFORD ROAD",
"address_2": "SUITE B",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423031320",
"telephone_number": "270-215-0234",
"fax_number": "270-215-0316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONGLETON",
"first_name": "TERRI",
"middle_name": "D",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71002271A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4975P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
- Community Alternatives Kentucky, Inc.
- Community Health Services , Inc
- Compass Counseling of Owensboro
- Compassionate Care Adult Day Care
- Heather L Condon, M.D.
- Benjamin William Conkright, OD
- Erin Conkright, PHARMD
- Connections Therapy Solutions
- Andrea Michelle Connor, M.A., CCC-SLP
- John Moore Connor, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.