Family Health Care Associates of Williamsburg

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3568P Issued in KY

Legal business name

FAMILY HEALTH CARE ASSOCIATES OF WILLIAMSBURG

Practice address

965 South Hwy 25
Ste 52
Williamsburg, KY 40769

Phone

(606) 549-8780

Fax

(606) 549-8779

NPI assigned

Oct 21, 2008

Last updated

Dec 23, 2009By 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

Ms. Gina Lynn Good, ARNP

Title

Clinic Owner

Phone

(605) 546-7777

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1568614543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1535",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "40906",
            "telephone_number": "606-549-8780",
            "fax_number": "606-549-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 SOUTH HWY 25",
            "address_2": "STE 52",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "40769",
            "telephone_number": "606-549-8780",
            "fax_number": "606-549-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE ASSOCIATES OF WILLIAMSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "605-546-7777",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": "3568P",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100063160",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100059130",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Renee Elliott, APRN
• Rachel Nicole Ellison, LMT, LAT, ATC
• Teresa Ruth Ellison, LMT
• Jennifer Marie Emery, NURSE PRACTITIONER
• Family Health Care Associates 9
• Kayla Fields
• Shala Foley
• Cynthia Eileen Fults, PTA
• Warren Brooks Gardner, PHARM.D.
• Philip Spencer Garner

• Clinic/Center in Williamsburg, KY
• Providers in Williamsburg, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.