Healthfirst Family Medical Clinic, LLC.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4356P Issued in KY

Legal business name

HEALTHFIRST FAMILY MEDICAL CLINIC, LLC.

Practice address

1830 Destiny LN
Suite118
Bowling Green, KY 42104-1087

Phone

(270) 781-1101

Fax

(270) 781-1120

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Judy L Stevens, ARNP

Title

Owner

Phone

(270) 781-1101

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669573135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 DESTINY LN",
            "address_2": "SUITE 118",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041087",
            "telephone_number": "270-781-1101",
            "fax_number": "270-781-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 DESTINY LN",
            "address_2": "SUITE118",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041087",
            "telephone_number": "270-781-1101",
            "fax_number": "270-781-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHFIRST FAMILY MEDICAL CLINIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-781-1101",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4356P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78013109",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Bowling Green, KY
• Providers in Bowling Green, 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 Aug 22, 2020; 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.