Bluegrass Regional Healthcare

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2835P Issued in KY

Legal business name

BLUEGRASS REGIONAL HEALTHCARE

Practice address

1307 N Main St
Beaver Dam, KY 42320-8957

Phone

(270) 274-9222

Fax

(270) 274-0696

NPI assigned

Mar 27, 2007

Last updated

Aug 22, 2020By 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

Susan Matthews, ARNPNPI 1922000736

Title

Owner, Provider

Phone

(270) 274-9222

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan B Matthews, ARNP

  • Family Nurse Practitioner
  • Beaver Dam, KY
  • NPI 1922000736
  Authorized official Same address or phone

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609994789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208957",
            "telephone_number": "270-274-9222",
            "fax_number": "270-274-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208957",
            "telephone_number": "270-274-9222",
            "fax_number": "270-274-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS REGIONAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "270-274-9222",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "2835P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78006764",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2835P",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beaver Dam Health Care Manor Inc (Beaver Dam Health Care Manor)
• Beaver Dam Nursing & Rehab Center, Inc
• Kimberly J Bivens, L.M.T.
• Bluegrass Family Dentistry, PLLC
• Bluegrass Family Eyecare Inc.
• Brenda Lee Bradford, CRNA
• Bright Futures Behavioral Health
• Tyler Cherry, DPT
• Coffman Family Care and Wellness PLLC
• Coffman Family Care and Wellness, PLLC

• Family Nurse Practitioner in Beaver Dam, KY
• Providers in Beaver Dam, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.