Bluegrass Regional Foot and Ankle Associates P S C

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BLUEGRASS REGIONAL FOOT AND ANKLE ASSOCIATES P S C

Practice address

208 Bellaire Dr
Nicholasville, KY 40356-8840

Phone

(859) 887-8026

Fax

(859) 887-0017

NPI assigned

Sep 26, 2012

Last updated

Apr 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Albertson, APRN

Title

President

Phone

(859) 229-2779

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bluegrass Regional Foot and Ankle Associates P S C

  • Podiatrist
  • London, KY
  • NPI 1730180571

  1850318015

  Same PAC ID

Tax ID family

Bluegrass Regional Foot and4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Bluegrass Regional Foot & Ankle Associates

  • Nurse Practitioner
  • London, KY
  • NPI 1699920736
  NPD tax ID
• Bluegrass Regional Foot & Ankle Associates

  • Nurse Practitioner
  • London, KY
  • NPI 1780837062
  NPD tax ID
• Bluegrass Regional Foot and Ankle Associates P S C

  • Podiatrist
  • London, KY
  • NPI 1730180571
  NPD tax ID

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1285985515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W 5TH ST STE 3",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411610",
            "telephone_number": "859-229-2779",
            "fax_number": "606-862-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BELLAIRE DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568840",
            "telephone_number": "859-887-8026",
            "fax_number": "859-887-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS REGIONAL FOOT AND ANKLE ASSOCIATES P S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "ALBERTSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-229-2779",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90005737",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael R. Bishop, D.M.D.
• Bluegrass Audiology, LLC (Bluegrass Audiology & Hearing Aids)
• Bluegrass Family Therapy
• Bluegrass Family Vision PLLC
• Bluegrass Hearing Clinic, LLC
• Karen Boll
• Kathy Lynn Bolton, ARNP
• Ermithe Bornelus
• Kristin Borrelli, PSY.D.
• Dana Rae Boyle, MS, OTR/L

• Durable Medical Equipment & Medical Supplies in Nicholasville, KY
• Providers in Nicholasville, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.