Individual provider Active NPI

Joseph Michael Banks, APRN

  • Family Nurse Practitioner
  • Whitesburg, KY
National Provider Identifier
1275778987
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3005686 Issued in KY
Practice address
756 Highway 2034
Whitesburg, KY 41858-7500
Phone
(606) 634-8153
NPI assigned
Dec 9, 2008
Last updated
Jul 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5686P KY
Family Nurse Practitioner 363LF0000X 3005686 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090711000019 KY Practitioner - Nurse Practitioner 7618029281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

116 Willow Dr
Mayking, KY 41837-8301
Phone (606) 634-8153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3005686KYMDFamily Nurse Practitioner
5686PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph M. Banks Family CurrentSince Aug 1, 2014 Accepting new patients

Locations

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1275778987",
    "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": "606-634-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "5686P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesburg, KY

Sources for this page

Verify at the official NPI Registry.