WINCHESTER MEDICAL ASSOCIATES, LLC (NPI# 1659567329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659567329 |
| Entity Type | Organization |
| Organization Name | WINCHESTER MEDICAL ASSOCIATES, LLC |
| Other Organization Name | NURSE PRACTITIONER GROUP |
| Practice Address |
475 Shoppers Dr Winchester KY 40391-1380 |
| Practice Telephone | 8597445111 |
| Practice Fax Number | 8597441177 |
| Mailing Telephone | 8597445111 |
| Mailing Fax Number | 8597441177 |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2007-10-30 |
| Authorized Official Name | RALPH A ALVARADO (OWNER) |
| Authorized Official Telephone | 8597445111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | WINCHESTER MEDICAL ASSOCIATES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78901261 | 05 |
| Other Name | Type Code |
|---|---|
| NURSE PRACTITIONER GROUP | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952354813 | Winchester Medical Associates, LLC | Pediatrics | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2006-05-19 |
| Street Address |
475 SHOPPERS DR |
| City | WINCHESTER |
| State | KY |
| Zip Code | 40391-1380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659336923 | Beth Ellen Killian | Nurse Practitioner | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2006-04-19 |
| 1174021737 | Billie Renee Hensley | Nurse Practitioner | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2018-01-30 |
| 1871902957 | Rachel Decoster | Nurse Practitioner | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2014-08-04 |
| 1467788216 | Edward Allen Sizemore | Nurse Practitioner | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2009-10-29 |
| 1972559714 | Eric W. Bradburn | Internal Medicine | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2006-05-25 |
| 1881640621 | Ralph A. Alvarado | Internal Medicine | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2006-05-25 |
| 1225084072 | Angela D. Wood | Nurse Practitioner | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2006-05-25 |
| 1952354813 | Winchester Medical Associates, LLC | Pediatrics | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2006-05-19 |
| 1255384210 | Jamie G. Bradburn | Nurse Practitioner | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255838710 | Sharrock Strength and Rehab LLC | Clinic/Center | 1932 Bypass Road, Winchester, KY 40391 | 2018-04-11 |
| 1316264385 | Yvonne Marie Pendleton | Massage Therapist | 126 Professional Ave., Winchester, KY 40391 | 2010-04-29 |
| 1346478310 | Mack Anderson Kidd IIi | Registered Nurse | 105 Lindberg Rd., Winchester, KY 40391 | 2009-06-29 |
| 1043487572 | Rankin Douglas Skinner | Dentist | 726 Boonesboro Plaza, Winchester, KY 40391 | 2008-05-14 |
| 1427233592 | Clark County Health Department | Public Health or Welfare | 244 E. Broadway, Shearer Elementary School, Winchester, KY 40391 | 2008-01-08 |
| 1437334505 | Clark County Health Department | Public Health or Welfare | 250 N. Main St., Fannie Bush Elementary, Winchester, KY 40391 | 2008-01-08 |
| 1598886251 | Winchester Open Mri | Radiology | 475 Shoppers Village Drive, Winchester, KY 40391 | 2007-04-02 |
| 1265509285 | James Warren Rice | Orthopaedic Surgery | 400 Shoppers Dr, Winchester, KY 40391 | 2006-11-29 |
| 1932279262 | J Todd Scobee Dmd Psc | Clinic/Center | 1216 West Lexington Ave, Winchester, KY 40391 | 2006-11-08 |
| 1396823936 | Commonwealth Urology, Psc | Urology | 68 East Elkin Street, Stanton, KY 40391 | 2006-11-01 |
| Find all providers in zip 40391 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794090 | Sarah-jane Gruber | Nurse Practitioner | 905 Cedar Creek Grade Ste 102, Winchester, VA 22601-7100 | 2020-09-14 |
| 1902417835 | Tara Beth Cruse | Nurse Practitioner | 5100 Combs Ferry Rd, Winchester, KY 40391-8082 | 2020-08-13 |
| 1639702616 | Anna Stewart | Nurse Practitioner | 219 Stine Ln, Winchester, VA 22603-5413 | 2020-02-18 |
| 1154953065 | Julie Varney | Nurse Practitioner | 119 Union View Ln, Winchester, VA 22603-3342 | 2020-02-08 |
| 1295379410 | April Dunaway | Nurse Practitioner | 403 Harney Dr, Winchester, KY 40391-9740 | 2019-10-30 |
| 1689225534 | Tracey Lynn Graham | Nurse Practitioner | 202 Heath Ct, Winchester, VA 22602 | 2019-09-23 |
| 1205484722 | Rachel Wynne Ziemke | Nurse Practitioner | 160 Merchant St, Winchester, VA 22603-4772 | 2019-08-28 |
| 1174177224 | Anna Morrison | Nurse Practitioner | 480 Bullion Blvd, Winchester, KY 40391-2933 | 2019-07-27 |
| 1285292581 | Heather Ann Hyden | Nurse Practitioner | 183 Hospital Rd Ste A, Winchester, TN 37398-2471 | 2019-05-31 |
| 1679035851 | Michelle Katherine Bull | Nurse Practitioner | 908 S Jefferson St, Winchester, TN 37398-2132 | 2019-04-04 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 40391 |
Please comment or provide details below to improve the information on WINCHESTER MEDICAL ASSOCIATES, LLC.
| 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.