Individual provider Active NPI

Harry E Pedigo

  • Social Worker
  • Owensboro, KY
National Provider Identifier
1629625868
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1001 W 7TH St
Owensboro, KY 42301-2007
Phone
(270) 541-1003
Fax
(270) 215-0037
NPI assigned
Aug 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1001 W 7TH St
Owensboro, KY 42301-2007

Mailing address

1001 W 7TH St
Owensboro, KY 42301-2007
Phone (270) 541-1003

Other practice location 1

905 Hickman Ave
Owensboro, KY 42301-2079
Phone (270) 541-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Benedict Joseph'S Shelter, Inc. CurrentSince Aug 25, 2019 Accepting new patients

Locations

1001 W 7th St
Owensboro, KY 42301
Phone (270) 541-1003

905 Hickman Ave
Owensboro, KY 42301
Phone (270) 541-1003

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1629625868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W 7TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423012007",
            "telephone_number": "270-541-1003",
            "fax_number": "270-215-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W 7TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423012007",
            "telephone_number": "270-541-1003",
            "fax_number": "270-215-0037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Hickman Ave",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423012079",
            "country_code": "US",
            "telephone_number": "270-541-1003",
            "fax_number": "270-215-0037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDIGO",
        "first_name": "HARRY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.