Active NPI
Christie Strode, KCSA
- Surgical Physician Assistant
- Bowling Green, KY
National Provider Identifier
1679623219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- SA123
- Practice address
- 250 Park St
Bowling Green, KY 42101-1760 - Phone
- (270) 781-4828
- Fax
- (270) 781-4828
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | SA123 | KY | Primary |
Addresses
Primary practice location
250 Park St
Bowling Green, KY 42101-1760
Mailing address
1945 Scottsville Rd Ste B2 PMB 397
Bowling Green, KY 42104-5836
Phone (270) 781-4828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA123 | KY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225238400000",
"number": "1679623219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 SCOTTSVILLE RD STE B2 PMB 397",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421045836",
"telephone_number": "270-781-4828",
"fax_number": "270-781-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011760",
"telephone_number": "270-781-4828",
"fax_number": "270-781-4828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRODE",
"first_name": "CHRISTIE",
"name_prefix": "Ms.",
"credential": "KCSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2008-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "KY",
"license": "SA123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.