Fyi Healthcare Clinic, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3003830 Issued in KY

Legal business name

FYI HEALTHCARE CLINIC, PLLC

Practice address

1219 N Main St
Suite 101
Beaver Dam, KY 42320-8955

Phone

(270) 274-0638

Fax

(270) 274-5600

NPI assigned

Sep 7, 2011

Last updated

Sep 7, 2011By 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 Smith Rice, APRNNPI 1205909330

Title

Co-Owner

Phone

(270) 274-0638

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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 Smith Rice, APRN

  • Nurse Practitioner
  • Beaver Dam, KY
  • NPI 1205909330

  Family

  NPD (past) Authorized official
• Shane Thomas Napier, DO

  • Family Medicine Physician
  • Beaver Dam, KY
  • NPI 1457655730
  NPD (past)

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1619258498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 N MAIN ST",
            "address_2": "SUITE 101",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208955",
            "telephone_number": "270-274-0638",
            "fax_number": "270-274-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 N MAIN ST",
            "address_2": "SUITE 101",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208955",
            "telephone_number": "270-274-0638",
            "fax_number": "270-274-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FYI HEALTHCARE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "270-274-0638",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "KY",
            "license": "13394",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3003830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Fleener, APRN
• Leslie Michelle Frady
• Audrey Frizzell, DPT
• Fuller Physical Therapy
• David Christopher Fuller, PT, DPT
• Tamara Rhea Goff, RPH
• Dakota Gowins, OT
• Green River District Health Department (Southern Elementary School Health)
• Donald Kevin Gregory, MD
• Jaime Gregory

• 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 Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.