FAMILY PRACTICE CARE LLC (NPI# 1558402867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558402867 |
| Entity Type | Organization |
| Organization Name | FAMILY PRACTICE CARE LLC |
| Practice Address |
700 Cassidy Ave Fredonia KY 42411 |
| Mailing Address |
Po Box 195 700 Cassidy Ave Fredonia KY 42411 |
| Practice Telephone | 2705453386 |
| Practice Fax Number | 2705453712 |
| Mailing Telephone | 2705453386 |
| Mailing Fax Number | 2705453712 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2014-06-26 |
| Authorized Official Name | SCOTT R GRAHAM (OWNER) |
| Authorized Official Telephone | 2705453386 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3001776 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78903812 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407950538 | Family Practice Care LLC | Family Medicine | 700 Cassidy Ave, Fredonia, KY 42411 | 2006-09-11 |
| Street Address |
700 CASSIDY AVE |
| City | FREDONIA |
| State | KY |
| Zip Code | 42411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114923257 | Corner Homecare Inc | Durable Medical Equipment & Medical Supplies | 700 Cassidy Ave, Fredonia, KY 42411-9207 | 2005-06-23 |
| 1265076947 | Caldwell County Hospital Inc | Clinic/Center | 700 Cassidy Ave, Fredonia, KY 42411-9207 | 2019-11-05 |
| 1427334051 | Easycare Inc | Pharmacy | 700 Cassidy Ave, Fredonia, KY 42411-9207 | 2011-10-27 |
| 1447560024 | Easycare Inc | Pharmacy | 700 Cassidy Ave, Fredonia, KY 42411-9207 | 2010-10-15 |
| 1407950538 | Family Practice Care LLC | Family Medicine | 700 Cassidy Ave, Fredonia, KY 42411 | 2006-09-11 |
| 1225132350 | Scott R Graham | Family Medicine | 700 Cassidy Ave, Fredonia, KY 42411 | 2006-09-11 |
| 1194716167 | Beverly Annett Jones | Nurse Practitioner | 700 Cassidy Ave, Fredonia, KY 42411-9207 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013121052 | Janet Stewart | Speech-Language Pathologist | 201 Dorroh Street, Fredonia, KY 42411-0121 | 2007-05-09 |
| 1851754717 | Megan Daugherty | Speech-Language Pathologist | 1200 Dalton Rd, Fredonia, KY 42411-9672 | 2016-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516277 | Dawn J Manzella | Specialist | 135 W Mainn St, Fredonia, NY 14063 | 2020-10-20 |
| 1831796697 | Jose L Caraballo | Non-emergency Medical Transport (VAN) | 39 White St, Fredonia, NY 14063-1817 | 2020-10-05 |
| 1518573062 | Amy Lee Peters | Speech-Language Pathologist | 9571 Stone Rd, Fredonia, NY 14063-9640 | 2020-09-21 |
| 1003436700 | Speakn Up LLC | Speech-Language Pathologist | 45 N First East St, Fredonia, AZ 86022-0079 | 2020-04-22 |
| 1023638806 | David Armstrong Lambert | Speech-Language Pathologist | 221 East Hortt Strett, Fredonia, AZ 86022 | 2020-04-21 |
| 1528609666 | Southeast Kansas Nutrition LLC | Dietitian, Registered | 419 N 6th St Ste 16, Fredonia, KS 66736-1300 | 2019-09-30 |
| 1790336337 | Roxanne Blake | Technician | 34 Ryan Pl, Fredonia, NY 14063-2300 | 2019-09-25 |
| 1942857677 | Terry Lea Marr | Technician | 3488 2300 Rd, Fredonia, KS 66736-2204 | 2019-08-19 |
| 1265909568 | Emily Marie Ludwig | Student in an Organized Health Care Education/Training Program | 3 Andrew Ct, Fredonia, NY 14063 | 2018-10-25 |
| 1689157844 | Brian Paul Masciadrelli | Social Worker | 16 Leverett St, Fredonia, NY 14063-1725 | 2018-09-12 |
| Find all providers in FREDONIA | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952384067 | Deborah Dibble | Nurse Practitioner | Suny College At Fredonia, Lograsso Hall Health Center, Fredonia, NY 14063 | 2005-11-22 |
| 1730607599 | Lacey Dawn Spohn | Nurse Practitioner | 1525 Madison St Ste 3, Fredonia, KS 66736-1704 | 2017-08-31 |
| 1598045601 | Britni Dawn Stewart | Nurse Practitioner | 1525 Madison St Ste 2, Fredonia, KS 66736-1704 | 2011-08-19 |
| 1487969192 | Jessica L Evans | Nurse Practitioner | 1525 Madison St Ste 2, Fredonia, KS 66736-1704 | 2010-08-18 |
| 1588799332 | Patricia Ann Boris | Nurse Practitioner | 280 Central Ave, Suny At Fredonia, Lograsso Hall Health Center, Fredonia, NY 14063-1127 | 2007-02-22 |
| 1194716167 | Beverly Annett Jones | Nurse Practitioner | 700 Cassidy Ave, Fredonia, KY 42411-9207 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.