Organization Active NPI

Northern Kentucky University Foundation Inc.

  • Family Nurse Practitioner
  • Newport, KY
National Provider Identifier
1194123687
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NORTHERN KENTUCKY UNIVERSITY FOUNDATION INC.
Practice address
206 Albright Health Ctr
Northern Ky University
Newport, KY 41099-0001
Phone
(859) 572-5579
Fax
(859) 572-1934
NPI assigned
Dec 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Kris Pfendt
Title
Director
Phone
(859) 912-0597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

206 Albright Health Ctr
Northern Ky University
Newport, KY 41099-0001

Mailing address

206 Albright Health Ctr
Northern Ky University
Newport, KY 41099-0001
Phone (859) 572-5579

Other names 1

  • Nurse Advocacy Center for the Underserved Other name

National Provider Directory

National Provider Directory

Locations

206 Albright Health Ctr
Newport, KY 41099
Phone (859) 572-5579

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1194123687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ALBRIGHT HEALTH CTR",
            "address_2": "NORTHERN KY UNIVERSITY",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410990001",
            "telephone_number": "859-572-5579",
            "fax_number": "859-572-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ALBRIGHT HEALTH CTR",
            "address_2": "NORTHERN KY UNIVERSITY",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410990001",
            "telephone_number": "859-572-5579",
            "fax_number": "859-572-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN KENTUCKY UNIVERSITY FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "PFENDT",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "859-912-0597"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurse Advocacy Center for the Underserved",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.