Individual provider Active NPI

Brittany Mattingly

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1396450276
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018823 Issued in KY
Practice address
920 Frederica St Ste 104
Owensboro, KY 42301-3076
Phone
(270) 238-6468
Fax
(833) 941-0845
NPI assigned
Jan 16, 2023
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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 3018823 KY Primary

Addresses

Primary practice location

920 Frederica St Ste 104
Owensboro, KY 42301-3076

Mailing address

2100 Triplett St Ste 2100
Owensboro, KY 42303-3865
Phone (270) 238-6468

Other practice location 1

110 S 2nd St
Central City, KY 42330-1506
Phone (270) 931-2059

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
I20230201000829 KY Practitioner - Nurse Practitioner 5092186957 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Urgent Care, LLC CurrentSince Jun 17, 2024 Accepting new patients
Elevated Primary Care Family Current Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Jan 1, 2023 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Evolution Primary Care Family Past Accepting new patients

Locations

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

145 Brookeway Dr
Mt Washington, KY 40047
Phone (502) 538-2430

2804 Frederica St
Ste 1
Owensboro, KY 42301
Phone (270) 240-3633

3245 Mount Moriah Ave
Ste 10
Owensboro, KY 42303
Phone (270) 663-0955

Organizations & group practices 5

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": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1396450276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 TRIPLETT ST STE 2100",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033865",
            "telephone_number": "270-238-6468",
            "fax_number": "270-702-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST STE 104",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013076",
            "telephone_number": "270-238-6468",
            "fax_number": "833-941-0845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Central City",
            "state": "KY",
            "postal_code": "423301506",
            "country_code": "US",
            "telephone_number": "270-931-2059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.