NPIMap

Organization Active NPI

Laurel County Health Department

  • Public Health & General Preventive Medicine Physician
  • London, KY
National Provider Identifier
1942790167
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
LAUREL COUNTY HEALTH DEPARTMENT
Practice address
525 Whitley St
London, KY 40741-2626
Phone
(606) 864-5187
Fax
(606) 864-8295
NPI assigned
May 14, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
LAUREL COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Stephanie Martin
Title
Administrative Specialist
Phone
(606) 864-5244

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X KY
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X KY Primary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X KY

Addresses

Primary practice location

525 Whitley St
London, KY 40741-2626

Mailing address

525 Whitley St
London, KY 40741-2626
Phone (606) 864-5187

Other identifiers 1

IdentifierTypeStateIssuer
20063012MedicaidKY

Other names 1

  • Laurel County Health Department #2 Other name

National Provider Directory

National Provider Directory
Tax ID family
Laurel County Health Department18 organizations share this tax ID, including this one
Part of
Laurel County Health Department

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

525 Whitley St
London, KY 40741
Phone (606) 864-5187

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1942790167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WHITLEY ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412626",
            "telephone_number": "606-864-5187",
            "fax_number": "606-864-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WHITLEY ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412626",
            "telephone_number": "606-864-5187",
            "fax_number": "606-864-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAUREL COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE SPECIALIST",
        "authorized_official_telephone_number": "606-864-5244"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20063012",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel County Health Department #2",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Laurel County Health Department #2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.