Owensboro Medical Practice

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

3009832 Issued in KY

Legal business name

OWENSBORO MEDICAL PRACTICE

Practice address

1200 Breckenridge St
Owensboro, KY 42303-1089

Phone

(270) 683-8672

Fax

(270) 685-8233

NPI assigned

Dec 3, 2015

Last updated

Dec 3, 2015By 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

Michele Beyke

Title

Manager

Phone

(270) 691-1834

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1336514264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BRECKENRIDGE ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031089",
            "telephone_number": "270-683-8672",
            "fax_number": "270-685-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BRECKENRIDGE ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031089",
            "telephone_number": "270-683-8672",
            "fax_number": "270-685-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENSBORO MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "BEYKE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "270-691-1834"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3009832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owensboro Internal Medicine Associates
• Owensboro Ky Opco LLC (Chautauqua Health and Rehabilitation)
• Owensboro Medical Center Laboratory, Inc (Owensboro Medical Center Lab)
• Owensboro Medical Health System
• Owensboro Medical Internists PSC
• Owensboro Medical Practice Laboratory
• Owensboro Medical Practice, PLLC (Tristate Diagnostic Laboratory)
• Owensboro Medical Practice, PLLC
• Owensboro Medical Practice, PLLC
• Owensboro Orthopedic Clinic Inc

• Gerontology Nurse Practitioner in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Gerontology Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.