Organization Active NPI

Advamed Health LLC

  • Family Medicine Physician
  • London, KY
National Provider Identifier
1336790302
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADVAMED HEALTH LLC
Practice address
301 Wendell Way
London, KY 40741-2064
Phone
(606) 309-6612
NPI assigned
Sep 21, 2019
Last updated
Oct 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Christany Adams
Title
Manager
Phone
(606) 309-6612

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU
Primary Care Clinic/Center 261QP2300X NU
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

301 Wendell Way
London, KY 40741-2064

Mailing address

301 Wendell Way
London, KY 40741-2064
Phone (606) 309-6612

Other identifiers 1

IdentifierTypeStateIssuer
193200000XOtherKYTAXONOMY MULTI SPECIALTY

National Provider Directory

National Provider Directory

Locations

301 Wendell Way
London, KY 40741
Phone (606) 309-6612

NPI Registry JSON

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1336790302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WENDELL WAY",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412064",
            "telephone_number": "606-309-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WENDELL WAY",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412064",
            "telephone_number": "606-309-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVAMED HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-21",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CHRISTANY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "606-309-6612"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY MULTI SPECIALTY",
            "identifier": "193200000X",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.