TWIN LAKES MEDICAL FOUNDATION, INC. (NPI# 1275762221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275762221 |
| Entity Type | Organization |
| Organization Name | TWIN LAKES MEDICAL FOUNDATION, INC. |
| Other Organization Name | BCMC NURSE PRACTIONER GROUP |
| Practice Address |
9847 Elizabethtown Rd Big Clifty KY 42712-5880 |
| Practice Telephone | 2702422000 |
| Practice Fax Number | 2702422100 |
| Mailing Telephone | 2702422000 |
| Mailing Fax Number | 2702422100 |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2013-04-11 |
| Authorized Official Name | LOU ELLIOTT (BUSINESS ADMINISTRATION) |
| Authorized Official Telephone | 2702599580 |
| Is Organization Subpart | Y |
| Parent Organization Name | TWIN LAKES MEDICAL FOUNDATION,INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| BCMC NURSE PRACTIONER GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952616070 | Twin Lakes Medical Foundation, Inc. | Preventive Medicine | 1895 Elizabethtown Rd., Leitchfield, KY 42754-9138 | 2010-08-12 |
| 1053638288 | Twin Lakes Medical Foundation, Inc. | Internal Medicine | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2010-04-28 |
| 1295052975 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2010-04-21 |
| 1871821454 | Twin Lakes Medical Foundation, Inc. | Internal Medicine | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2009-11-19 |
| 1730337726 | Twin Lakes Medical Foundation, Inc. | Pediatrics | 9847 Elizabethtown Rd, Big Clifty, KY 42712-5880 | 2008-09-03 |
| 1326214172 | Twin Lakes Medical Foundation, Inc. | Hearing Instrument Specialist | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2008-05-01 |
| 1861668618 | Twin Lakes Medical Foundation, Inc. | Obstetrics & Gynecology | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2008-05-01 |
| 1902982002 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2006-10-31 |
| 1720164825 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 301 Sunset Dr, Caneyville, KY 42721-9172 | 2006-10-31 |
| 1003820812 | Twin Lakes Medical Foundation, Inc. | Pediatrics | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2006-07-28 |
| Street Address |
9847 ELIZABETHTOWN RD |
| City | BIG CLIFTY |
| State | KY |
| Zip Code | 42712-5880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912164534 | Midway Pharmacy of Clarkson Inc | Pharmacy | 9847 Elizabethtown Rd, Ste 102, Big Clifty, KY 42712-5880 | 2008-05-21 |
| 1265956338 | Kimberly Elmore Gowin | Nurse Practitioner | 9847 Elizabethtown Rd, Big Clifty, KY 42712-5880 | 2017-08-01 |
| 1265849525 | Rennatta Kiper White | Nurse Practitioner | 9847 Elizabethtown Rd, Big Clifty, KY 42712-5880 | 2014-07-18 |
| 1730337726 | Twin Lakes Medical Foundation, Inc. | Pediatrics | 9847 Elizabethtown Rd, Big Clifty, KY 42712-5880 | 2008-09-03 |
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386278505 | Mariah Willett Webb | Nurse Practitioner | 10136 Nortonville Rd, Dawson Springs, KY 42408-8949 | 2020-02-26 |
| 1750914040 | The Ortho Np, LLC | Nurse Practitioner | 1904 Meadowgate Ln, Louisville, KY 40223-1122 | 2020-02-15 |
| 1851922744 | Debra Hardison | Nurse Practitioner | 3064 Pea Ridge Rd, Waddy, KY 40076-6107 | 2020-01-29 |
| 1396235198 | Jennifer Lynn Howard | Nurse Practitioner | 2703 Campbell St, Ashland, KY 41102-4362 | 2018-05-16 |
| 1699282988 | Victoria Michelle Jones | Nurse Practitioner | 7004 Austinwood Rd, Louisville, KY 40214-5930 | 2018-01-08 |
| 1912447616 | Jessica Wilson | Nurse Practitioner | 740 S Limestone J401, Lexington, KY 40536-0001 | 2017-02-28 |
| 1366990145 | Vicky Wheeler Moore | Nurse Practitioner | 466 Linden Ave Ste A, Harrodsburg, KY 40330-1841 | 2016-09-21 |
| 1295100345 | Ashley Elizabeth Summers | Nurse Practitioner | 701 Executive Park, Louisville, KY 40207 | 2015-12-01 |
| 1053793406 | Michelle Baxter | Nurse Practitioner | 3811 Barbara Ann Blvd, Crestwood, KY 40014-9237 | 2015-06-22 |
| 1740608082 | Margaret Hamilton | Nurse Practitioner | 4938 Brownsboro Rd Ste 206, Louisville, KY 40222-6385 | 2014-04-03 |
| Find all providers with the same taxonomy | ||||
| City | BIG CLIFTY |
| Zip Code | 42712 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.