Individual provider Active NPI

John Sublett

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1811447717
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3002820 Issued in KY
Practice address
4359 Scotland Dr
Owensboro, KY 42303-2726
Phone
(270) 314-9538
NPI assigned
Oct 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3002820 KY Primary

Addresses

Primary practice location

4359 Scotland Dr
Owensboro, KY 42303-2726

Mailing address

4359 Scotland Dr
Owensboro, KY 42303-2726
Phone (270) 314-9538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040520001156 KY Practitioner - Nurse Practitioner 5890786537 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky PLLC Family CurrentSince Mar 6, 2017 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Dec 5, 2018 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Mar 6, 2017 Accepting new patients
Brock Medical, LLC CurrentSince Dec 5, 2018 Accepting new patients

Locations

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

2242 US Highway 41 N
Henderson, KY 42420
Phone (270) 844-8515

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

1350 N Main St
Madisonville, KY 42431
Phone (270) 245-2554

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1811447717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4359 SCOTLAND DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423032726",
            "telephone_number": "270-314-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 SCOTLAND DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423032726",
            "telephone_number": "270-314-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBLETT",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3002820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.