Organization Active NPI

Kentucky Mountain Health, LLC

  • Pain Clinic/Center
  • Pikeville, KY
National Provider Identifier
1225315591
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
KENTUCKY MOUNTAIN HEALTH, LLC
Practice address
101 Hibbard St Ste 100
Pikeville, KY 41501-1788
Phone
(606) 433-0404
Fax
(606) 432-0405
NPI assigned
Nov 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Mrs. Brandy M Meadows, BSN
Title
Co-Owner
Phone
(606) 433-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

101 Hibbard St Ste 100
Pikeville, KY 41501-1788

Mailing address

101 Hibbard St Ste 100
Pikeville, KY 41501-1788
Phone (606) 433-0404

Other practice location 1

175 Weddington Branch Rd
Pikeville, KY 41501-3204
Phone (606) 433-0404

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1225315591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HIBBARD ST STE 100",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011788",
            "telephone_number": "606-433-0404",
            "fax_number": "606-432-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HIBBARD ST STE 100",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011788",
            "telephone_number": "606-433-0404",
            "fax_number": "606-432-0405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Weddington Branch Rd",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415013204",
            "country_code": "US",
            "telephone_number": "606-433-0404",
            "fax_number": "606-432-0405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENTUCKY MOUNTAIN HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "606-433-0404",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.