NPIMap

Organization Active NPI

Winchester Medical Associates, LLC

  • Family Nurse Practitioner
  • Winchester, KY
National Provider Identifier
1659567329
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
WINCHESTER MEDICAL ASSOCIATES, LLC
Practice address
475 Shoppers Dr
Winchester, KY 40391-1380
Phone
(859) 744-5111
Fax
(859) 744-1177
NPI assigned
Sep 17, 2007
Organization subpart
Yes
Parent organization
WINCHESTER MEDICAL ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Ralph A Alvarado, MDNPI 1881640621
Title
Owner
Phone
(859) 744-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary
Pediatric Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0200X

Addresses

Primary practice location

475 Shoppers Dr
Winchester, KY 40391-1380

Mailing address

475 Shoppers Dr
Winchester, KY 40391-1380
Phone (859) 744-5111

Other identifiers 1

IdentifierTypeStateIssuer
78901261MedicaidKY

Other names 1

  • NURSE PRACTITIONER GROUP Other name

National Provider Directory

National Provider Directory
Part of
Winchester Medical

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1659567329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SHOPPERS DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911380",
            "telephone_number": "859-744-5111",
            "fax_number": "859-744-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SHOPPERS DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911380",
            "telephone_number": "859-744-5111",
            "fax_number": "859-744-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINCHESTER MEDICAL ASSOCIATES, LLC",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-744-5111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78901261",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NURSE PRACTITIONER GROUP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.