Individual provider Active NPI

Nicole Ann Turnbo, ARNP

  • Pediatric Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1871255414
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3016837 Issued in KY
Practice address
2331 New Holt Rd
Paducah, KY 42001-7404
Phone
(270) 441-4777
Fax
(270) 441-4780
NPI assigned
Oct 11, 2021
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 3016837 KY Primary

Addresses

Primary practice location

2331 New Holt Rd
Paducah, KY 42001-7404

Mailing address

2331 New Holt Rd
Paducah, KY 42001-7404
Phone (270) 441-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3016837KYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
James Kyle Turnbo M.D. PSC Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1871255414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017404",
            "telephone_number": "270-441-4777",
            "fax_number": "270-441-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017404",
            "telephone_number": "270-441-4777",
            "fax_number": "270-441-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNBO",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3016837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.