Carrico Congleton Family Practice, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CARRICO CONGLETON FAMILY PRACTICE, LLC

Practice address

2811 New Hartford Road
Suite B
Owensboro, KY 42303-1320

Phone

(270) 215-0234

Fax

(270) 215-0316

NPI assigned

Oct 4, 2011

Organization subpart

No

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

Authorized official

Name

Judy A Carrico, APRNNPI 1649251349

Title

Owner

Phone

(270) 215-0234

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HGADCA

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judy Ann Carrico, ARNP

  • Nurse Practitioner
  • Owensboro, KY
  • NPI 1649251349
  Medicare reassignment Care Compare group NPD Authorized official
• Terri D Congleton, ARNP

  • Family Nurse Practitioner
  • Owensboro, KY
  • NPI 1124129465
  Medicare reassignment Care Compare group NPD
• Lisa Jo Willis, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
  • NPI 1841986536
  Medicare reassignment Care Compare group NPD
• Andrea Marie Scott, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
  • NPI 1851857858
  Medicare reassignment NPD

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1750665162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 NEW HARTFORD RD STE B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031384",
            "telephone_number": "270-215-0234",
            "fax_number": "270-215-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 NEW HARTFORD ROAD",
            "address_2": "SUITE B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031320",
            "telephone_number": "270-215-0234",
            "fax_number": "270-215-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRICO CONGLETON FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "CARRICO",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-215-0234",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Michele Carnes, APRN
• James E Carothers, MD
• Courtney Lee Carpenter, CF-SLP
• James D. Carpenter, LCADC
• Stevie Nicole Carraro, M.D.
• Carrico Therapy Services LLC
• Amy S Carrico, DMD
• Judy Ann Carrico, ARNP
• Kelsey Alexandra Carrico, OTR
• Matheis W Carrico, MD

• Nurse Practitioner in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.