Phelps Medical

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PHELPS MEDICAL

Practice address

115 Tradepark Dr Ste B
Somerset, KY 42503-3428

Phone

(606) 307-3918

NPI assigned

Jul 25, 2024

Organization subpart

No

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

Authorized official

Name

Diana Linda Phelps, APRNNPI 1285220723

Title

Owner

Phone

(606) 307-3918

Specialties & licenses 2

Addresses

Other names 1

• Bay Pointe Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Diana Linda Phelps, APRN

  • Family Nurse Practitioner
  • Somerset, KY
  • NPI 1285220723
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1295563765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 TRADEPARK DR STE B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033428",
            "telephone_number": "606-307-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 TRADEPARK DR STE B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033428",
            "telephone_number": "606-307-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELPS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-307-3918",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Pointe Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan J Petrosky, M.D.
• Adam Lane Pfeiffer
• Krystal Pfeiffer
• Henry Phan
• Samantha Phelps Blevins
• Carolyn W Phelps
• Diana Linda Phelps, APRN
• Dustin E. Phelps, LIC. PSYCH. PRACT.
• Gillian Jerleen Phelps, CSFA
• Hannah Phelps

• Primary Care Clinic/Center in Somerset, KY
• Providers in Somerset, KY by specialty
• Primary Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.