NPIMap

Organization Active NPI

Casey County Primary Care Nursing Group

  • Family Nurse Practitioner
  • Liberty, KY
National Provider Identifier
1982876173
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CASEY COUNTY PRIMARY CARE NURSING GROUP
Practice address
187 Wolford Ave
Liberty, KY 42539-3278
Phone
(606) 787-8348
Fax
(606) 787-9717
NPI assigned
Mar 27, 2008
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CASEY COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Rex A Tungate
Title
Ceo, Administrator
Phone
(270) 384-4753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

187 Wolford Ave
Liberty, KY 42539-3278

Mailing address

187 Wolford Ave
Liberty, KY 42539-3278
Phone (606) 787-8348

Other identifiers 1

IdentifierTypeStateIssuer
7890229300MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Casey County Primary Care Nursing Group8 organizations share this tax ID, including this one
Part of
Casey County Primary Care Nursing Group

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1982876173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 WOLFORD AVE",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425393278",
            "telephone_number": "606-787-8348",
            "fax_number": "606-787-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 WOLFORD AVE",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425393278",
            "telephone_number": "606-787-8348",
            "fax_number": "606-787-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASEY COUNTY PRIMARY CARE NURSING GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASEY COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "TUNGATE",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO, ADMINISTRATOR",
        "authorized_official_telephone_number": "270-384-4753"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7890229300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.