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BLUEGRASS PRIMARY CARE LLC NPI 1649222969


NPI Information

NPI: 1649222969
Provider Name: BLUEGRASS PRIMARY CARE LLC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
135 EAST MAKWELL ST.
SUITE 200
LEXINGTON, KY
ZIP 40508
Phone: (859) 422-4363
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BLUEGRASS PRIMARY CARE LLC is a nurse practitioner in Lexington, 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. BLUEGRASS PRIMARY CARE LLC NPI is 1649222969. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

135 EAST MAKWELL ST.
SUITE 200
LEXINGTON, KY
ZIP 40508
Phone: (859) 422-4363
Fax: (859) 422-4357

The provider's authorized official is Ann S. Giles .
The authorized official title is Owner and has the following contact phone number (859) 219-2828.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 7/25/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerKENTUCKYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100003MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
2000004074OTHERBCBS
378905098MEDICAIDKENTUCKY
40003MEDICARE PINKENTUCKY

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: 11/14/2023

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