Organization Active NPI

Joseph M. Banks

Doing business as Joe Banks APRN Family Clinic

  • Family Nurse Practitioner
  • Whitesburg, KY
National Provider Identifier
1184031726
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3206 Issued in KY
Legal business name
JOSEPH M. BANKS
Doing business as
Joe Banks APRN Family Clinic
Practice address
756 Highway 2034
Whitesburg, KY 41858-7500
Phone
(606) 634-8196
NPI assigned
Jul 15, 2014
Last updated
Oct 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Joseph M Banks, APRNNPI 1275778987
Title
Owner
Phone
(606) 634-8196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3206 KY Primary

Addresses

Primary practice location

756 Highway 2034
Whitesburg, KY 41858-7500

Mailing address

104 McCray LN
Millstone, KY 41838-8922
Phone (606) 634-8196

Other identifiers 1

IdentifierTypeStateIssuer
7100305760MedicaidKY

Other names 1

  • Joe Banks APRN Family Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141001002557 KY Part B Supplier - Clinic/Group Practice 8426278078 Receives reassigned benefits from 1 practitioner
Practice locations: Mayking, KY

National Provider Directory

National Provider Directory

Locations

756 Highway 2034
Whitesburg, KY 41858
Phone (606) 634-8153

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1184031726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MCCRAY LN",
            "city": "MILLSTONE",
            "state": "KY",
            "postal_code": "418388922",
            "telephone_number": "606-634-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 HIGHWAY 2034",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587500",
            "telephone_number": "606-634-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M. BANKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-634-8196",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100305760",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joe Banks APRN Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitesburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.