Individual provider Active NPI

Courtney Cheyenne Schwinn, APRN

  • Pediatric Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1124781208
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3016850 Issued in KY
Practice address
2605 Kentucky Ave Ste 501
Paducah, KY 42003-3804
Phone
(270) 443-7534
NPI assigned
Oct 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 3016850 KY Primary

Addresses

Primary practice location

2605 Kentucky Ave Ste 501
Paducah, KY 42003-3804

Mailing address

2605 Kentucky Ave
Paducah, KY 42003-3800
Phone (270) 443-7534

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220228000511 KY Practitioner - Nurse Practitioner 5991199408 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2022 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients

Locations

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

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2605 Kentucky Ave
Paducah, KY 42003
Phone (270) 408-4368

2605 Kentucky Ave
Ste 501
Paducah, KY 42003
Phone (270) 443-7534

2605 Kentucky Ave
Ste 502
Paducah, KY 42003
Phone (270) 415-7015

Organizations & group practices 3

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": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1124781208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 KENTUCKY AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033800",
            "telephone_number": "270-443-7534",
            "fax_number": "270-442-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 KENTUCKY AVE STE 501",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033804",
            "telephone_number": "270-443-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWINN",
        "first_name": "COURTNEY",
        "middle_name": "CHEYENNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3016850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.