Saint Joseph Medical Foundation, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17955 Issued in KY

Legal business name

SAINT JOSEPH MEDICAL FOUNDATION, INC

Practice address

1250 Keene Rd
Ste 102
Nicholasville, KY 40356

Phone

(859) 885-9402

Fax

(859) 887-1624

NPI assigned

Jan 15, 2009

Organization subpart

Yes

Parent organization

SAINT JOSEPH MEDICAL FOUNDATION, INCAs reported in NPPES

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

Authorized official

Name

Kandi R Rea

Title

Physician Credentialing

Phone

(606) 330-3404

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Draper Family Practice Doing business as

Part of

Saint Joseph Med FND Inc

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1467699249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73652",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930002",
            "telephone_number": "606-330-3404",
            "fax_number": "606-330-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 KEENE RD",
            "address_2": "STE 102",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "40356",
            "telephone_number": "859-885-9402",
            "fax_number": "859-887-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOSEPH MEDICAL FOUNDATION, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT JOSEPH MEDICAL FOUNDATION, INC",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "REA",
        "authorized_official_first_name": "KANDI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN CREDENTIALING",
        "authorized_official_telephone_number": "606-330-3404"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "17955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65928590",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Draper Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine (Kasi) Christine Rowlett
• Stephen P. Royse, M.D.
• Zoe Rupert, OT
• Alseia Kathryn Ryan, SLP
• Saint Joseph Health System, Inc
• Saint Joseph Medical Foundation, Inc.
• Sakura Behavioral Health LLC
• Kushtrim Salihu
• Erin Salmons, SLP
• Sam'S Club Optical

• Family Medicine Physician in Nicholasville, KY
• Providers in Nicholasville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.