Individual provider Active NPI

Carolyn J Kassinger, ARNP-C

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1962742056
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007965 Issued in KY
Practice address
2816 Veach Rd
Suite 306
Owensboro, KY 42303-6295
Phone
(270) 240-5696
Fax
(270) 240-5697
NPI assigned
Feb 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3007965 KY Primary
Internal Medicine Physician 207R00000X 3007965 KY
Nurse Practitioner 363L00000X 3007965 KY

Addresses

Primary practice location

2816 Veach Rd
Suite 306
Owensboro, KY 42303-6295

Mailing address

2816 Veach Rd
Suite 306
Owensboro, KY 42303-6295
Phone (270) 240-5696

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3007965KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. Norman, D.O., P.a. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1962742056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 VEACH RD",
            "address_2": "SUITE 306",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036295",
            "telephone_number": "270-240-5696",
            "fax_number": "270-240-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 VEACH RD",
            "address_2": "SUITE 306",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036295",
            "telephone_number": "270-240-5696",
            "fax_number": "270-240-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSINGER",
        "first_name": "CAROLYN",
        "middle_name": "J",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007965",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "3007965",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.