1025 HEALTH LLC NPI 1891303368

NPI Information

NPI: 1891303368
Provider Name: 1025 HEALTH, LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
110 HARDIN LN
SOMERSET, KY
ZIP 42503
Phone: (606) 451-9748
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1025 HEALTH, LLC is an adult health nurse practitioner in Somerset, KY. 1025 HEALTH, LLC NPI is 1891303368. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

110 HARDIN LN
SOMERSET, KY
ZIP 42503-818
Phone: (606) 451-9748

The provider's authorized official is Robert Johnson .
The authorized official title is Np and has the following contact phone number (606) 451-9748.

The enumeration date for this NPI number is 7/21/2020 and was last updated on 7/21/2020.

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
1	363LA2200X	Nurse Practitioner	Adult Health			Yes
2	363LG0600X	Nurse Practitioner	Gerontology			No

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	1417467010	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: 4/28/2024

NPI Synchronization or Removal

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