Active NPI
Central Kentucky Surgical Institute
- Family Nurse Practitioner
- Campbellsville, KY
National Provider Identifier
1306162284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5850P
- Legal business name
- CENTRAL KENTUCKY SURGICAL INSTITUTE
- Practice address
- 1878 Old Lebanon Rd
Campbellsville, KY 42718-9663 - Phone
- (270) 465-7505
- Fax
- (270) 789-3860
- NPI assigned
- Apr 16, 2010
- Last updated
- Apr 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Bentley, APRN
- Title
- Office Manager
- Phone
- (270) 465-7505
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5850P | KY | Primary |
Addresses
Primary practice location
1878 Old Lebanon Rd
Campbellsville, KY 42718-9663
Mailing address
1878 Old Lebanon Rd
Campbellsville, KY 42718-9663
Phone (270) 465-7505
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/17162/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Nurse Practitioner
- Campbellsville, KY
- NPI 1952546871
-
- Surgery Physician
- Campbellsville, KY
- NPI 1174605364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271376000000",
"number": "1306162284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1878 OLD LEBANON RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427189663",
"telephone_number": "270-465-7505",
"fax_number": "270-789-3860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1878 OLD LEBANON RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427189663",
"telephone_number": "270-465-7505",
"fax_number": "270-789-3860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL KENTUCKY SURGICAL INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-16",
"last_updated": "2010-04-16",
"status": "A",
"authorized_official_last_name": "BENTLEY",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "270-465-7505",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "5850P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbellsville, KY
- Cassandra Stephens, MD, PSC (Stephens' Family Medicine)
- Amanda Lynn Cecil, OTR
- Central Drug Center
- Central Drug Center Inc.
- Central Kentucky Audiology, Inc
- Central Kentucky Surgical Institute, PSC
- Central Kentucky Surgical Services LLC
- Central Ky Hearing Care, Inc
- Century Pharmacy Inc (Century Medicines)
- Winit Chartisathian, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.