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NORSWORTHY MEDICAL ASSOC. PSC NURSE PRACTITIONER GROUP NPI 1538284708


NPI Information

NPI: 1538284708
Provider Name: NORSWORTHY MEDICAL ASSOC., PSC NURSE PRACTITIONER GROUP
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 18D0692118

Address:
1219 N MAIN ST
BEAVER DAM, KY
ZIP 42320
Phone: (270) 274-1800
Get Directions

NORSWORTHY MEDICAL ASSOC., PSC NURSE PRACTITIONER GROUP is a nurse practitioner in Beaver Dam, KY. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. NORSWORTHY MEDICAL ASSOC., PSC NURSE PRACTITIONER GROUP NPI is 1538284708. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1219 N MAIN ST
BEAVER DAM, KY
ZIP 42320-955
Phone: (270) 274-1800
Fax: (270) 274-5600

The provider's authorized official is Eric A Norsworthy .
The authorized official title is Owner and has the following contact phone number (270) 274-1800.

The CLIA number assigned to this NPI record is 18D0692118 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.


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
1363L00000XNurse Practitioner3830PKENTUCKYYes

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
17890042000MEDICAIDKENTUCKY

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

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