Rachael Dobson
Individual provider Active NPI Family Nurse Practitioner · Campbellsville, KY
NPI 1689132128 · NPPES record last updated Feb 27, 2024
Key facts
- NPI
- 1689132128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3013202 (KY)
- Practice address
- 73 Kingswood Dr
Campbellsville, KY 42718-9604 - Phone
- (270) 849-2379
- Fax
- (270) 465-2126
- NPI assigned
- Mar 4, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Taylor Regional Medical Group LLC
Practice addresses (Care Compare)
73 Kingswood Dr
Campbellsville, KY 42718-9604
Hospital & facility affiliations
- Taylor Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190401000476 | KY | Practitioner - Nurse Practitioner | 3678814688 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013202 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VMD Primary Providers Central Kentucky | Current |
Accepting new patients | |
| Primary Care Medical Center Inc | Family | Current | Accepting new patients |
| VMD Primary Providers Central Kentucky | Nurse Practitioner | Current |
Accepting new patients |
| Southeastern Emergency Services P C | Nurse Practitioner | Current |
Accepting new patients |
| Taylor Regional Medical Group LLC | Family | Current |
Accepting new patients |
| Taylor Regional Medical Group, LLC | Family | Current |
Accepting new patients |
| Southeastern Emergency Physicians LLC | Nurse Practitioner | Current |
Accepting new patients |
| Family & Internal Medicine Associates PLLC | Current |
Accepting new patients | |
| Taylor Regional Medical Group | Past | Accepting new patients |
Locations
73 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 789-1112
1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561
1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561
95 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 465-3812
67 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 465-2116
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
325 W Walnut St
Ste 600
Lebanon, KY 40033
Phone (270) 699-9500
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
1000 S 12th St
Murray, KY 42071
Phone (270) 759-9200
Interoperability endpoints
- https://api.platform.athenahealth.com/22417/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3013202 | KY | |
| Family Nurse Practitioner | 363LF0000X | 3013202 | KY | Yes |
Addresses
Primary practice location
73 Kingswood Dr
Campbellsville, KY 42718-9604
Mailing address
1698 Old Lebanon Rd
Campbellsville, KY 42718-3319
Phone (270) 465-3561
Other practice location 1
325 W Walnut St Ste 600
Lebanon, KY 40033-1378
Phone (270) 699-9500
Other practice location 2
95 Kingswood Dr
Campbellsville, KY 42718-9604
Phone (270) 465-3812
Other providers in Campbellsville, KY
- Lori Davis
- Debra De la Garza
- Dek Health Alliance LLC
- Erica N Dishman
- Jerome Anthony Dixon
- Molly West Doerr
- Stephanie Donnelly
- Andrew Dornbrook
- Holly Dornbrook
- Ullanda Dawn Douglas
All providers in Campbellsville, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.