Individual provider Active NPI

Linda Stovall, A.R.N.P.

  • Family Nurse Practitioner
  • Scottsville, KY
National Provider Identifier
1689655987
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1920P Issued in KY
Practice address
217 W Main St
Scottsville, KY 42164-1122
Phone
(270) 239-9355
Fax
(270) 239-9356
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1920P KY Primary

Addresses

Primary practice location

217 W Main St
Scottsville, KY 42164-1122

Mailing address

217 W Main St
Scottsville, KY 42164-1122
Phone (270) 239-9355

Other identifiers 1

IdentifierTypeStateIssuer
78000742MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317000207 KY Practitioner - Nurse Practitioner 1850296807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Health Corporation, Inc.Group PAC ID 5496667628, 268 clinicians

Practice addresses (Care Compare)

322 S College St
Franklin, KY 42134-2247
Phone (270) 586-5888

Hospital & facility affiliations

  • Lifeline Home Health Home health agency, Tompkinsville, KY, CCN 187130
  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
  • The Medical Center at Scottsville Hospital, Scottsville, KY, CCN 181324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1920PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bowling Green-Warren County Community Hospital Corporation Family CurrentSince Dec 26, 2018 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Family CurrentSince Dec 26, 2018 Accepting new patients
Commonwealth Health Corporation, Inc. Family CurrentSince Oct 1, 2011 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Current Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Oct 1, 2011 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients

Locations

825 2nd Ave
Ste C3
Bowling Green, KY 42101
Phone (270) 780-2660

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

322 S College St
Franklin, KY 42134
Phone (270) 586-4401

466 Burnley Rd
Scottsville, KY 42164
Phone (270) 237-3131

1545 Bowling Green Rd
Rm 803
Scottsville, KY 42164
Phone (270) 618-3094

217 W Main St
Scottsville, KY 42164
Phone (270) 239-9355

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689655987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W MAIN ST",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421641122",
            "telephone_number": "270-239-9355",
            "fax_number": "270-239-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W MAIN ST",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421641122",
            "telephone_number": "270-239-9355",
            "fax_number": "270-239-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1920P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78000742",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsville, KY

Sources for this page

Verify at the official NPI Registry.