Women'S Health of Western Kentucky LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

WOMEN'S HEALTH OF WESTERN KENTUCKY LLC

Practice address

112 Keeton Dr
Hopkinsville, KY 42240-8756

Phone

(270) 886-7427

Fax

(270) 885-7786

NPI assigned

Nov 7, 2013

Organization subpart

Yes

Parent organization

JENNIE STUART MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Darrell L Gustafson

Title

Cfo

Phone

(270) 707-2100

Specialties & licenses 1

Addresses

Part of

Jennie Stuart Medical C

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Jennie Stuart Medical Center Inc

  • Rural Health Clinic/Center
  • Hopkinsville, KY
  • NPI 1679293369

  Member Of

  NPD member

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1972932176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2400",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422412400",
            "telephone_number": "270-707-2100",
            "fax_number": "270-707-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 KEETON DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408756",
            "telephone_number": "270-886-7427",
            "fax_number": "270-885-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTH OF WESTERN KENTUCKY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JENNIE STUART MEDICAL CENTER",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "270-707-2100"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Winters
• Wisegroup LLC
• Penny Withers
• Pamela Marie Wofford
• Stacia Wolf
• Women'S Wellness Center, LLC
• Wonderland Express LLC
• Jessica Renee Wood
• Randi Wood
• Woods Drug Store

• Nurse Practitioner in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.