Professional Family Healthcare Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5516P Issued in KY

Legal business name

PROFESSIONAL FAMILY HEALTHCARE INC

Practice address

1632 Cumberland Ave Ste 7
Middlesboro, KY 40965-1378

Phone

(606) 248-7000

Fax

(606) 248-6699

NPI assigned

Sep 29, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn M Davis, ARNP

Title

President

Phone

(606) 248-7000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carolyn Michelle Davis Rutherford, ARNP

  • Family Nurse Practitioner
  • Middlesboro, KY
  • NPI 1780852020
  NPD (past)

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1801120498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876",
            "address_2": "1632 CUMBERLAND AVENUE SUITE 7",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409650876",
            "telephone_number": "606-248-7000",
            "fax_number": "606-248-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 CUMBERLAND AVE STE 7",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651378",
            "telephone_number": "606-248-7000",
            "fax_number": "606-248-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL FAMILY HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-248-7000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "5516P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Phillips, BSSW
• Pinnacle of Purpose
• Ouen Pongdee, MD PSC INC
• Makenzie Prater
• Premier Medical Associates LLC
• Amanda Nicole Pursifull, PA-C
• Brent Byron Pursifull, DMD
• Nicole Pursifull, NP
• Alayna Nicole Rangel, DC
• Douglas Eugene Redmond

• Family Nurse Practitioner in Middlesboro, KY
• Providers in Middlesboro, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.