Organization Active NPI

Symmetry Family Health PLLC

  • Family Nurse Practitioner
  • Hopkinsville, KY
National Provider Identifier
1447938345
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SYMMETRY FAMILY HEALTH PLLC
Practice address
2523 Fort Campbell Blvd Ste 2
Hopkinsville, KY 42240-4688
Phone
(270) 348-2401
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Sandra Brown, APRNNPI 1932509270
Title
Owner
Phone
(270) 885-9995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2523 Fort Campbell Blvd Ste 2
Hopkinsville, KY 42240-4688

Mailing address

2523 Fort Campbell Blvd Ste 2
Hopkinsville, KY 42240-4688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231018004125 KY Part B Supplier - Clinic/Group Practice 9436504925 Receives reassigned benefits from 1 practitioner
Practice locations: Hopkinsville, KY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2299424Symmetry Family Health PLLC2523 Fort Campbell Blvd, Hopkinsville, KY 42240Certificate of waiverFeb 20, 2028

National Provider Directory

National Provider Directory

Locations

2523 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 885-9995

2523 Fort Campbell Blvd
#2
Hopkinsville, KY 42240
Phone (270) 348-2401

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/29280/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1447938345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 FORT CAMPBELL BLVD STE 2",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 FORT CAMPBELL BLVD STE 2",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404688",
            "telephone_number": "270-348-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMMETRY FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-885-9995",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.