Organization Active NPI

Wesleyan Medical Practice Corporation

  • Clinical Nurse Specialist
  • Owensboro, KY
National Provider Identifier
1508511148
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
Legal business name
WESLEYAN MEDICAL PRACTICE CORPORATION
Practice address
3221 Frederica St Ste B
Owensboro, KY 42301-6086
Phone
(270) 215-7755
Fax
(270) 215-7757
NPI assigned
Feb 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Dr. Sara Lynn Doolin-Thompson, DNP, APRN-BC, CNOR
Title
Administrator/Owner
Phone
(270) 215-7755

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364S00000X Primary

Addresses

Primary practice location

3221 Frederica St Ste B
Owensboro, KY 42301-6086

Mailing address

3221 Frederica St Ste a&B
Owensboro, KY 42301-6086
Phone (270) 215-7755

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1508511148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 FREDERICA ST STE A&B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016086",
            "telephone_number": "270-215-7755",
            "fax_number": "270-215-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 FREDERICA ST STE B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016086",
            "telephone_number": "270-215-7755",
            "fax_number": "270-215-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEYAN MEDICAL PRACTICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-12",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "DOOLIN-THOMPSON",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "270-215-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN-BC, CNOR"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.