NPIMap

Organization Active NPI

Fast Pace Kentucky PLLC

Doing business as Fast Pace Health

  • Rural Health Clinic/Center
  • Glasgow, KY
National Provider Identifier
1952022709
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FAST PACE KENTUCKY PLLC
Doing business as
Fast Pace Health
Practice address
237 N L Rogers Wells Blvd
Glasgow, KY 42141-1174
Phone
(606) 619-3060
NPI assigned
Sep 9, 2022
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Christy Littlejohn
Title
Manager
Phone
(931) 253-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

237 N L Rogers Wells Blvd
Glasgow, KY 42141-1174

Mailing address

PO Box 306414
Nashville, TN 37230-6414
Phone (931) 253-1110

Other names 1

  • Fast Pace Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250306001603 KY Part A Provider - Rural Health Clinic 0143525998 Practice locations: Glasgow, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952022709. Details of each certification follow.

Rural health clinic certification: CCN B03901

Legal name
FAST PACE KENTUCKY, PLLC
Doing business as
FAST PACE HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 1, 2022
Last certification
Dec 1, 2022
Ownership / control type
1B
Organization structure
OtherProprietary
Enrollment address
237 N L Rogers Wells Blvd
Glasgow, KY 42141-1174

National Provider Directory

National Provider Directory
Tax ID family
Fast Pace Kentucky PLLC44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melissa Harlan Individual Operational/Managerial ControlDirector Jan 1, 2024 100%
Barry Louis Taylor Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2019 33.3%
Christy Littlejohn Individual Operational/Managerial ControlManager Jan 1, 2024 100%
Karen Denise Daingerfield Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2019 33.3%
Dana Kay Martin Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2019 33.3%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Change-of-ownership history 2

DateEventCounterparty
Mar 31, 2025 Change of OwnershipThis provider was the buyer Brock Medical, LLCCCN B03901, KY, NPI 1952022709
Mar 31, 2025 Change of OwnershipThis provider was the seller Fast Pace HealthCCN B03901, KY, NPI 1952022709

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1952022709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306414",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306414",
            "telephone_number": "931-253-1110",
            "fax_number": "931-722-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 N L ROGERS WELLS BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411174",
            "telephone_number": "606-619-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST PACE KENTUCKY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "LITTLEJOHN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "931-253-1110"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fast Pace Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.