WINCHESTER MEDICAL ASSOCIATES LLC NPI 1659567329

NPI Information

NPI: 1659567329
Provider Name: WINCHESTER MEDICAL ASSOCIATES, LLC

Other Name: NURSE PRACTITIONER GROUP

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
475 SHOPPERS DR
WINCHESTER, KY
ZIP 40391
Phone: (859) 744-5111
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WINCHESTER MEDICAL ASSOCIATES, LLC is a family nurse practitioner in Winchester, KY. WINCHESTER MEDICAL ASSOCIATES, LLC NPI is 1659567329. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Nurse Practitioner Group.

The provider's business location address is:

475 SHOPPERS DR
WINCHESTER, KY
ZIP 40391-380
Phone: (859) 744-5111
Fax: (859) 744-1177

The provider's authorized official is Ralph A Alvarado .
The authorized official title is Owner and has the following contact phone number (859) 744-5111.

The enumeration date for this NPI number is 9/17/2007 and was last updated on 10/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics			No
2	363LF0000X	Nurse Practitioner	Family			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	78901261	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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