Buffalo Trace Area Development District

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

BUFFALO TRACE AREA DEVELOPMENT DISTRICT

Doing business as

Buffalo Trace Area Agency on Aging

Practice address

201 Government St
Suite 300
Maysville, KY 41056-1260

Phone

(606) 564-6894

Fax

(606) 564-0955

NPI assigned

Feb 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Caroline Clarke Ullery

Title

Director of Aging Services

Phone

(606) 564-6894

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Buffalo Trace Area Agency on Aging Doing business as

Tax ID family

Buffalo Trace Area Development District3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Buffalo Trace Area Development District

  • Supports Brokerage Agency
  • Maysville, KY
  • NPI 1033324991
  NPD tax ID
• Buffalo Trace Area Development District

  • Supports Brokerage Agency
  • Maysville, KY
  • NPI 1124233085
  NPD tax ID

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972646073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410560460",
            "telephone_number": "606-564-6894",
            "fax_number": "606-564-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GOVERNMENT ST",
            "address_2": "SUITE 300",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410561260",
            "telephone_number": "606-564-6894",
            "fax_number": "606-564-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO TRACE AREA DEVELOPMENT DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ULLERY",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "CLARKE",
        "authorized_official_title_or_position": "DIRECTOR OF AGING SERVICES",
        "authorized_official_telephone_number": "606-564-6894",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700079500",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33001413",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43996081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buffalo Trace Area Agency on Aging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Grace Bryant, DMD
• Matthew Lloyd Buchanan, DMD
• Leon D. C. Budrie, MD
• Buffalo Trace Area Development District
• Buffalo Trace Area Development District
• Buffalo Trace Childrens Advocacy Center
• Buffalo Trace Ear, Nose & Throat Center
• Buffalo Trace Gastroenterology PLLC
• April Burke
• Burns & Burns Family Dentistry

• Supports Brokerage Agency in Maysville, KY
• Providers in Maysville, KY by specialty
• Supports Brokerage Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.