Individual provider Active NPI

Morgan Altman, APRN, FNP

  • Family Nurse Practitioner
  • Campbellsville, KY
National Provider Identifier
1346762663
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011426 Issued in KY
Practice address
300 Ingram Avenue
Campbellsville, KY 42718-1625
Phone
(844) 435-0900
Fax
(270) 858-4029
NPI assigned
Jul 7, 2017
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011426 KY Primary

Addresses

Primary practice location

300 Ingram Avenue
Campbellsville, KY 42718-1625

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655

Other identifiers 1

IdentifierTypeStateIssuer
7100477680MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180611001218 KY Practitioner - Nurse Practitioner 1355696618 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3011426KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Regional Medical Group LLC Family CurrentSince May 5, 2018 Accepting new patients
Cumberland Family Medical Center Inc Current Accepting new patients
Cumberland Family Medical Center Inc CurrentSince May 17, 2023 Accepting new patients
Taylor Regional Medical Group, LLC Family CurrentSince May 5, 2018 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince May 17, 2023 Accepting new patients
Cumberland Family Medical Center Inc Past Accepting new patients
Cumberland Family Medical Center Inc PastSince Sep 25, 2022 Accepting new patients
Cumberland Family Medical Center Inc PastSince Jun 12, 2022 Accepting new patients

Locations

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

106 Ingram Ave
Campbellsville, KY 42718

1207 E Broadway St
Campbellsville, KY 42718
Phone (270) 465-2877

2705 Hodgenville Rd
Campbellsville, KY 42718
Phone (270) 849-3616

300 Ingram Ave
Campbellsville, KY 42718
Phone (270) 465-4431

67 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 465-2116

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1346762663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-858-6655",
            "fax_number": "270-858-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 INGRAM AVENUE",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181625",
            "telephone_number": "844-435-0900",
            "fax_number": "270-858-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "MORGAN",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100477680",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.