Princeton Family Care, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PRINCETON FAMILY CARE, PLLC

Practice address

323 C South Jefferson St
Princeton, KY 42445

Phone

(270) 365-2494

Fax

(270) 365-2496

NPI assigned

Dec 26, 2007

Last updated

Jan 24, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

PRINCETON FAMILY CARE, PLLCAs reported in NPPES

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

Authorized official

Name

Mary James, APRNNPI 1346311172

Title

Owner/Aprn

Phone

(270) 365-2494

Specialties & licenses 2

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Part of

Princeton Family Care PLLC

Locations

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.

• Mary Hall James, ARNP

  • Family Nurse Practitioner
  • Princeton, KY
  • NPI 1346311172
  Authorized official Same address or phone

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1639353741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "42445",
            "telephone_number": "270-365-2494",
            "fax_number": "270-365-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 C SOUTH JEFFERSON ST",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "42445",
            "telephone_number": "270-365-2494",
            "fax_number": "270-365-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON FAMILY CARE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRINCETON FAMILY CARE, PLLC",
        "enumeration_date": "2007-12-26",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER/APRN",
        "authorized_official_telephone_number": "270-365-2494",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100027710",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perry Family Medical PLLC
• Sue Ellen Petty, MD
• Shanna Phillips, P.T.
• Rebecca Sue Porter
• Primaricare, PLLC
• Princeton Health & Rehab Center, Inc.
• Princeton Ky Opco LLC (Princeton Nursing & Rehabilitation)
• Princeton Opco LLC (Princeton Health & Rehab Center)
• Kendyll Jaymes Prowell
• David Henry Ramey, DC

• Family Nurse Practitioner in Princeton, KY
• Providers in Princeton, 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 Jan 24, 2020; 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.