Organization Active NPI

Geriatric Nurse Practitioner Services, LLC

  • Gerontology Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1184890535
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP 2129P Issued in KY
Legal business name
GERIATRIC NURSE PRACTITIONER SERVICES, LLC
Practice address
6652 Waterford PL
Owensboro, KY 42303-9235
Phone
(270) 929-9971
Fax
(270) 281-4009
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Mrs. Lola Faye Houston, MSN, GNP
Title
Gerontological Nurse Practitioner
Phone
(270) 929-9971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X ARNP 2129P KY Primary

Addresses

Primary practice location

6652 Waterford PL
Owensboro, KY 42303-9235

Mailing address

6652 Waterford PL
Owensboro, KY 42303-9235
Phone (270) 929-9971

Other identifiers 1

IdentifierTypeStateIssuer
ARNP 2129POtherKYLICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1184890535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6652 WATERFORD PL",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039235",
            "telephone_number": "270-929-9971",
            "fax_number": "270-281-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6652 WATERFORD PL",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039235",
            "telephone_number": "270-929-9971",
            "fax_number": "270-281-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC NURSE PRACTITIONER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "LOLA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "GERONTOLOGICAL NURSE PRACTITIONER",
        "authorized_official_telephone_number": "270-929-9971",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, GNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "ARNP 2129P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ARNP 2129P",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.