NPIMap

Organization Active NPI

Bluegrass Family Healthcare, PLLC

  • Primary Care Nurse Practitioner
  • Leitchfield, KY
National Provider Identifier
1679914733
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
3007397 Issued in KY
Legal business name
BLUEGRASS FAMILY HEALTHCARE, PLLC
Practice address
2337 Elizabethtown Rd
Leitchfield, KY 42754-9173
Phone
(270) 971-1388
NPI assigned
Jul 17, 2013
Last updated
May 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Richard D Basham, APRNNPI 1588921738
Title
Owner
Phone
(270) 971-1388

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 3007397 KY Primary

Addresses

Primary practice location

2337 Elizabethtown Rd
Leitchfield, KY 42754-9173

Mailing address

2337 Elizabethtown Rd
Leitchfield, KY 42754-9173
Phone (270) 971-1388

National Provider Directory

National Provider Directory
Tax ID family
Bluegrass Family Healthcare PLLC2 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.

Locations

100 E White Oak St
Leitchfield, KY 42754

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1679914733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 ELIZABETHTOWN RD",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427549173",
            "telephone_number": "270-971-1388",
            "fax_number": "270-297-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 ELIZABETHTOWN RD",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427549173",
            "telephone_number": "270-971-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS FAMILY HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "BASHAM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-971-1388",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3007397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leitchfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.