Individual provider Active NPI

Latisha Ann Popplewell, NP-C

  • Family Nurse Practitioner
  • Russell Springs, KY
National Provider Identifier
1851960819
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016288 Issued in KY
Practice address
153 Dowell Rd
Russell Springs, KY 42642-4579
Phone
(270) 866-4141
Fax
(270) 866-4140
NPI assigned
Jun 23, 2021
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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 3016288 KY Primary

Addresses

Primary practice location

153 Dowell Rd
Russell Springs, KY 42642-4579

Mailing address

PO Box 1610
Russell Springs, KY 42642-1610
Phone (270) 866-4141

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
I20210723000170 KY Practitioner - Nurse Practitioner 1153724505 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell County HospitalGroup PAC ID 6204887243, shared by 6 NPIs, 22 clinicians

Practice addresses (Care Compare)

153 Dowell Rd
Russell Springs, KY 42642-4579
Phone (270) 866-4141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Russell County Hospital CurrentSince Jan 1, 2026 Accepting new patients
Russell County Hospital CurrentSince Jul 1, 2021 Accepting new patients
Russell County Hospital Current Accepting new patients
Russell County Hospital Nurse Practitioner CurrentSince Jul 1, 2021 Accepting new patients

Locations

153 Dowell Rd
Russell Springs, KY 42642
Phone (270) 866-4141

169 Joe T Petty Dr
Russell Springs, KY 42642
Phone (270) 865-1002

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1851960819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1610",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426421610",
            "telephone_number": "270-866-4141",
            "fax_number": "270-866-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 DOWELL RD",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426424579",
            "telephone_number": "270-866-4141",
            "fax_number": "270-866-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPLEWELL",
        "first_name": "LATISHA",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell Springs, KY

Sources for this page

Verify at the official NPI Registry.