NPIMap

Organization Active NPI

Primary Care Associates of Southern Kentucky, PLLC

  • Primary Care Nurse Practitioner
  • Glasgow, KY
National Provider Identifier
1811049281
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PRIMARY CARE ASSOCIATES OF SOUTHERN KENTUCKY, PLLC
Practice address
1330 N Race St
Suite 2
Glasgow, KY 42141-3465
Phone
(270) 651-6791
Fax
(270) 651-3182
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sandra Simmons
Title
Office Manager
Phone
(270) 651-6791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X KY Primary

Addresses

Primary practice location

1330 N Race St
Suite 2
Glasgow, KY 42141-3465

Mailing address

1330 N Race St
Suite 2
Glasgow, KY 42141-3465
Phone (270) 651-6791

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811049281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 N RACE ST",
            "address_2": "SUITE 2",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413465",
            "telephone_number": "270-651-6791",
            "fax_number": "270-651-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N RACE ST",
            "address_2": "SUITE 2",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413465",
            "telephone_number": "270-651-6791",
            "fax_number": "270-651-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ASSOCIATES OF SOUTHERN KENTUCKY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-651-6791",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.