Fast Pace Kentucky, PLLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

FAST PACE KENTUCKY, PLLC

Practice address

1023 W Main St
Princeton, KY 42445-1253

Phone

(615) 988-1571

NPI assigned

Nov 22, 2021

Last updated

Nov 22, 2021By 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

Robert Benson

Title

Coo

Phone

(931) 253-1110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356008601. Details of each certification follow.

• CCN B03873 Rural health clinic · Active · Details

Rural health clinic certification: CCN B03873

Legal name

FAST PACE KENTUCKY, PLLC

Doing business as

FAST PACE HEALTH

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Feb 11, 2022

Last certification

Feb 4, 2025

Ownership / control type

1B

Organization structure

OtherProprietary

Incorporated

Dec 21, 2015 in KY

Enrollment address

1023 W Main St
Princeton, KY 42445-1253

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Fast Pace Kentucky, PLLC

  • Rural Health Clinic/Center
  • Bardstown, KY
  • NPI 1184381444

  O20220108000185

  Same enrollment

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Karen Denise Daingerfield, FNP

  • Family Nurse Practitioner
  • McMinnville, TN
  • NPI 1538594494

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Dana Kay Martin, C.F.N.P.

  • Family Nurse Practitioner
  • Selmer, TN
  • NPI 1497781454

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Barry Louis Taylor, FNP

  • Family Nurse Practitioner
  • Jeffersonville, IN
  • NPI 1316292956

  5% Or Greater Direct Ownership Interest

  CMS ownership

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1356008601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306414",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 W MAIN ST",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424451253",
            "telephone_number": "615-988-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST PACE KENTUCKY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "931-253-1110"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ed Settle, M.D.
• Elite Emergency Services of Kentucky, PLLC
• Emergency Staffing Solutions
• Eyecare Center of Princeton PLLC
• Chelsey Farless, APRN
• Shanna Leslie Faughn, RN
• Victoria Fires
• Cassidy Cheyenne Franklin
• Tonia McCoy French, OT
• Emily Taylor Garrett

• Rural Health Clinic/Center in Princeton, KY
• Providers in Princeton, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.