NPIMap

Organization Active NPI

Western Kentucky University

Doing business as WKU Health Services

  • Internal Medicine Physician
  • Bowling Green, KY
National Provider Identifier
1235131533
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36233 Issued in KY
Legal business name
WESTERN KENTUCKY UNIVERSITY
Doing business as
WKU Health Services
Practice address
1906 College Heights Blvd #8400
Bowling Green, KY 42101-1041
Phone
(270) 745-5641
Fax
(270) 745-2449
NPI assigned
Jun 1, 2005
Last updated
Jan 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Mrs. Linda Heady
Title
Insurance & Billing Coordinator
Phone
(270) 745-5034

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1041583 KY
Family Medicine Physician 207Q00000X 30097 KY
Internal Medicine Physician 207R00000X 36233 KY Primary

Addresses

Primary practice location

1906 College Heights Blvd #8400
Bowling Green, KY 42101-1041

Mailing address

1906 College Heights Blvd #8400
Bowling Green, KY 42101-1041
Phone (270) 745-5641

Other names 1

  • WKU Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Western Kentucky University Speech Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1906 College Heights Blvd
#8400
Bowling Green, KY 42101
Phone (270) 745-5641

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": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1235131533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 COLLEGE HEIGHTS BLVD #8400",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011041",
            "telephone_number": "270-745-5641",
            "fax_number": "270-745-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 COLLEGE HEIGHTS BLVD #8400",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011041",
            "telephone_number": "270-745-5641",
            "fax_number": "270-745-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KENTUCKY UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "HEADY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "INSURANCE & BILLING COORDINATOR",
        "authorized_official_telephone_number": "270-745-5034",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "1041583",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "30097",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "36233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WKU Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.