NPIMap

Individual provider Active NPI

Timothy I Durbin, MSN-FNP

  • Family Nurse Practitioner
  • Powderly, KY
National Provider Identifier
1639620859
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010799 Issued in KY
Practice address
1010 Medical Center Dr
Powderly, KY 42367-5463
Phone
(270) 377-1600
Fax
(270) 338-0229
NPI assigned
Oct 24, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Deaconess Medical Group Inc 241 clinicians

Practice addresses (Care Compare)

200 Clinic Dr
FL 5
Madisonville, KY 42431-1661
Phone (270) 825-7214

Hospital & facility affiliations

  • Baptist Health Deaconess Health at Home Home health agency, Madisonville, KY, CCN 187013
  • Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161129002745 KY Practitioner - Nurse Practitioner 3779863238 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3010799KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Dec 10, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 5, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 10, 2016 Accepting new patients
Baptist Health Deaconess Medical Group Inc Family CurrentSince Sep 1, 2021 Accepting new patients
Baptist Health Deaconess Medical Group Inc Family CurrentSince Sep 1, 2021 Accepting new patients
Baptist Health Madisonville Inc Past Accepting new patients

Locations

203 N 2nd St
Central City, KY 42330
Phone (270) 754-4300

96 Future Dr
Corbin, KY 40701

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

200 Clinic Dr
Fl 5
Madisonville, KY 42431
Phone (270) 825-7214

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1010 Medical Center Dr
Powderly, KY 42367
Phone (270) 338-8000

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010799 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

1010 Medical Center Dr
Powderly, KY 42367-5463

Mailing address

2310 Culpepper Close St
Madisonville, KY 42431-9418
Phone (270) 377-1600

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address tdurbin56965@bhkydirect.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2020.

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1639620859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 CULPEPPER CLOSE ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319418",
            "telephone_number": "270-377-1600",
            "fax_number": "270-338-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MEDICAL CENTER DR",
            "city": "POWDERLY",
            "state": "KY",
            "postal_code": "423675463",
            "telephone_number": "270-377-1600",
            "fax_number": "270-338-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURBIN",
        "first_name": "TIMOTHY",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-24",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdurbin56965@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1010 Medical Center Dr",
            "city": "Powderly",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423675463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Powderly, KY

Sources for this page

Verify at the official NPI Registry.