Copper Creek Midwifery & Family Practice, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3007732 Issued in KY

Legal business name

COPPER CREEK MIDWIFERY & FAMILY PRACTICE, LLC

Practice address

416 S 4TH St
Danville, KY 40422-2085

Phone

(859) 475-3915

NPI assigned

Jun 14, 2016

Organization subpart

No

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

Authorized official

Name

Christina Scribner, APRN

Title

Owner; Aprn

Phone

(859) 475-3915

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1174973705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 EDWARDS RD",
            "city": "CRAB ORCHARD",
            "state": "KY",
            "postal_code": "404199610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S 4TH ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222085",
            "telephone_number": "859-475-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER CREEK MIDWIFERY & FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "SCRIBNER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER; APRN",
        "authorized_official_telephone_number": "859-475-3915",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007732",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "KY",
            "license": "3007867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Wellness Medical Associates a PC
• Community Wellness Medical Associates a PC
• Cortney Renee Conklin, APRN
• Melissa K Conner, MD
• Amanda Mae Cooley, APRN
• Jessica M Cornelius, PAC
• Bridgette E. Coulter, D.M.D.
• Donald Jeff Covell, M.D.
• Elizabeth Ann Coyle, RPH
• Jordan Brittany Crutchfield, NP

• All providers in Danville, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.