Organization Active NPI

Pediatric Associates of Frankfort PLLC

  • Pediatric Nurse Practitioner
  • Frankfort, KY
National Provider Identifier
1639360464
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
PEDIATRIC ASSOCIATES OF FRANKFORT PLLC
Practice address
4 Physicians Park
Frankfort, KY 40601-4181
Phone
(502) 223-8400
Fax
(502) 875-3073
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
David Hargrove Parker, MD
Title
Partner
Phone
(502) 223-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0200X Primary

Addresses

Primary practice location

4 Physicians Park
Frankfort, KY 40601-4181

Mailing address

4 Physicians Park
Frankfort, KY 40601-4181
Phone (502) 223-8400

Other identifiers 2

IdentifierTypeStateIssuer
45001088MedicaidKY
78902053MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Associates of Frankfort2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1639360464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PHYSICIANS PARK",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014181",
            "telephone_number": "502-223-8400",
            "fax_number": "502-875-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PHYSICIANS PARK",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014181",
            "telephone_number": "502-223-8400",
            "fax_number": "502-875-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF FRANKFORT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HARGROVE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "502-223-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45001088",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78902053",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.