Individual provider Active NPI

Rainatou Ngapare Salifu, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1124794953
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016487 Issued in KY
Practice address
1225 Fairway St
Bowling Green, KY 42103-2477
Phone
(270) 781-3910
Fax
(270) 842-7177
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3016487 KY Primary

Addresses

Primary practice location

1225 Fairway St
Bowling Green, KY 42103-2477

Mailing address

201 Park St
Bowling Green, KY 42101-1708
Phone (270) 781-5111

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
I20211019002447 KY Practitioner - Nurse Practitioner 3476941717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians
Vitae Health Medical Kentucky, LLCGroup PAC ID 3173952637, 28 clinicians

Practice addresses (Care Compare)

1225 Fairway St
Bowling Green, KY 42103-2477
Phone (270) 781-3910

3500 Good Samaritan Way
Louisville, KY 40299-6117
Phone (502) 267-7403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3016487KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Graves Gilbert Clinic PLLC CurrentSince Sep 24, 2021 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Sep 24, 2021 Accepting new patients

Locations

2724 Nashville Rd
Bowling Green, KY 42101
Phone (270) 780-0560

1225 Fairway St
Bowling Green, KY 42103
Phone (270) 781-3910

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

405 S L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 479-0260

Interoperability endpoints

  • Direct secure messaging: rainatousalifu@ggc.allscriptsdirect.net

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": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1124794953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011708",
            "telephone_number": "270-781-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 FAIRWAY ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032477",
            "telephone_number": "270-781-3910",
            "fax_number": "270-842-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIFU",
        "first_name": "RAINATOU",
        "middle_name": "NGAPARE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.