Individual provider Active NPI

Allison Lee Pedigo, DNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Glasgow, KY
National Provider Identifier
1598387938
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3014962 Issued in KY
Practice address
100 S Broadway St
Glasgow, KY 42141-2604
Phone
(270) 861-0606
NPI assigned
May 7, 2020
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3014962 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3014962 KY Primary
Registered Nurse 163W00000X 1164970 KY

Addresses

Primary practice location

100 S Broadway St
Glasgow, KY 42141-2604

Mailing address

38 Silver Oak CT
Scottsville, KY 42164-6382

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
I20220624001961 KY Practitioner - Nurse Practitioner 5193104982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oaks Behavioral Health PLLCGroup PAC ID 7416298948, 8 clinicians

Practice addresses (Care Compare)

100 S Broadway St
Glasgow, KY 42141-2604
Phone (270) 861-0606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1164970KYMDRegistered Nurse
3014962KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oaks Behavioral Health PLLC Psychiatric/Mental Health CurrentSince Jun 8, 2022 Accepting new patients

Locations

100 S Broadway St
Glasgow, KY 42141
Phone (270) 585-6604

1320 W Main St
#B
Glasgow, KY 42141

169 County Pike
Harlan, KY 40831
Phone (606) 573-5105

162 E Somerset Church Rd
Somerset, KY 42503

Organizations & group practices 1

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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1598387938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SILVER OAK CT",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421646382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BROADWAY ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412604",
            "telephone_number": "270-861-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDIGO",
        "first_name": "ALLISON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014962",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3014962",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1164970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.