NP Primary Care Clinical Services

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3005814 Issued in KY

Legal business name

NP PRIMARY CARE CLINICAL SERVICES

Practice address

1214 Herrington St
Bowling Green, KY 42104-3235

Phone

(270) 282-7201

NPI assigned

Aug 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jason T Shuffitt, DNP, APRNNPI 1265692438

Title

President & Ceo

Phone

(270) 282-7102

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason T Shuffitt, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Bowling Green, KY
  • NPI 1265692438
  NPD Authorized official

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1629522404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 HERRINGTON ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 HERRINGTON ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043235",
            "telephone_number": "270-282-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP PRIMARY CARE CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "SHUFFITT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "270-282-7102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3005814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Northrup, OTR/L
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• Carolyn Norton, RBT
• Michelle Nowacki, PHARMD
• NP Group of Tim Long MD PSC
• Nuckols & Cohron, P.S.C.
• Charles Thomas Nuckols, D.M.D.
• Jerry Nunn
• Nurture and Light Counseling, LLC
• Nurtured Counseling

• Nurse Practitioner in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.