Individual provider Active NPI

Laura Bethany Hardcastle, APN

  • Acute Care Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1699961144
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
12693 Issued in TN
Practice address
165 Natchez Trace Ave
Suite 205
Bowling Green, KY 42103-7940
Phone
(270) 282-2024
Fax
(270) 282-2027
NPI assigned
Sep 19, 2007
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 300724 KY
Acute Care Nurse Practitioner 363LA2100X 12693 TN Primary

Addresses

Primary practice location

165 Natchez Trace Ave
Suite 205
Bowling Green, KY 42103-7940

Mailing address

923 Shun Pike
Cottontown, TN 37048-5018
Phone (270) 776-1342

Other practice location 1

300 Steam Plant Rd Ste 234
Gallatin, TN 37066-3089
Phone (502) 327-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12693TNMDDentist
300724KYMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1699961144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 SHUN PIKE",
            "city": "COTTONTOWN",
            "state": "TN",
            "postal_code": "370485018",
            "telephone_number": "270-776-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 NATCHEZ TRACE AVE",
            "address_2": "SUITE 205",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037940",
            "telephone_number": "270-282-2024",
            "fax_number": "270-282-2027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Steam Plant Rd Ste 234",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370663089",
            "country_code": "US",
            "telephone_number": "502-327-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDCASTLE",
        "first_name": "LAURA",
        "middle_name": "BETHANY",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "300724",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "12693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.