Active NPI
SE Mobile House Calls
- Primary Care Nurse Practitioner
- Winchester, KY
National Provider Identifier
1740989052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- SE MOBILE HOUSE CALLS
- Practice address
- 946 Pine Ridge Rd
Winchester, KY 40391-8603 - Phone
- (859) 954-2119
- NPI assigned
- Feb 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelley Estes, FNP-BC
- Title
- Family Nurse Practitioner
- Phone
- (859) 954-2119
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
946 Pine Ridge Rd
Winchester, KY 40391-8603
Mailing address
946 Pine Ridge Rd
Winchester, KY 40391-8603
Phone (859) 954-2119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100861710 | Medicaid | KY |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1677196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680220800000",
"number": "1740989052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "946 PINE RIDGE RD",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403918603",
"telephone_number": "859-954-2119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "946 PINE RIDGE RD",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403918603",
"telephone_number": "859-954-2119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SE MOBILE HOUSE CALLS",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-24",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A",
"authorized_official_last_name": "ESTES",
"authorized_official_first_name": "SHELLEY",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "859-954-2119",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100861710",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.