City of Crescent Springs Kentucky

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1434 Issued in KY

Legal business name

CITY OF CRESCENT SPRINGS KENTUCKY

Practice address

777 Overlook Dr
Crescent Springs, KY 41017-1409

Phone

(859) 341-3840

Fax

(859) 344-4191

NPI assigned

Jul 14, 2005

Last updated

Mar 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Wendt

Title

Chief

Phone

(859) 341-3840

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Crescent Springs Villa Hills Fire & EMS Former legal business name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1144229980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 OVERLOOK DR",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410171409",
            "telephone_number": "859-341-3840",
            "fax_number": "859-344-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CRESCENT SPRINGS KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "WENDT",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "859-341-3840"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KY",
            "license": "1434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000070062",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55059141",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent Springs Villa Hills Fire & EMS",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Crescent Springs Villa Hills Fire & EMS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rebecca Burgard, LCSW
• Buttermilk Chiropractic Center of Crescent Springs, P.S.C. (Buttermilk Chiropractic Center)
• Buttermilk Family and Cosmetic Dentistry
• Gary D. Callioni, D.C.
• Kimberley Castaneda Schneider
• Katy Lynne Clifton, PHARMD
• Sarah Cobble, LPATA
• Laura Collins, RPH
• Zoe Cook, LPCA
• Crescent Villa Fire Authority

• Ambulance in Crescent Springs, KY
• Providers in Crescent Springs, KY by specialty
• Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.