COMPLETE PRIMARY CARE LLC (NPI# 1174059778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174059778 |
| Entity Type | Organization |
| Organization Name | COMPLETE PRIMARY CARE LLC |
| Practice Address |
141 Parkway Dr Bardstown KY 40004-3220 |
| Practice Telephone | 5023484757 |
| Practice Fax Number | 5023484750 |
| Mailing Telephone | 5023484757 |
| Mailing Fax Number | 5023484750 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2018-01-02 |
| Authorized Official Name | TONYA WOOTON (MEMBER) |
| Authorized Official Telephone | 5023484757 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100492360 | 05 |
| Street Address |
141 PARKWAY DR |
| City | BARDSTOWN |
| State | KY |
| Zip Code | 40004-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938983 | Mccoy Primary Care LLC | Nurse Practitioner | 141 Parkway Dr, Bardstown, KY 40004-3220 | 2019-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
| 1902421043 | Astra Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 202 Downs Lane, Bardstown, KY 40004 | 2020-06-15 |
| 1285296194 | Hardin Memorial Hospital | Pharmacy | 3615 E John Rowan Blvd, Bardstown, KY 40004 | 2019-07-01 |
| 1376024919 | Flaget Healthcare Inc | Clinic/Center | 110 N. Salem Drive, Bardstown, KY 40004 | 2018-08-22 |
| 1730697517 | Shannon Michelle Woods | Nurse Practitioner | 1095 Morton Ave, Bardstown, KY 40004 | 2018-01-16 |
| 1477922490 | Kristi Ballard | Counselor | 1000 E John Rowan Blvd Ste 107, Bardstown, KY 40004 | 2015-09-21 |
| 1659705309 | Patricia Hall | Speech-Language Pathologist | 310 South 6th Street, Bardstown, KY 40004 | 2013-08-29 |
| 1629314885 | Saint Joseph-anc Home Care Services, LLC | Hospice Care, Community Based | 711 Mcdowell Blvd, Bardstown, KY 40004 | 2012-12-17 |
| 1780920058 | Stars and Stripes Medical LLC | Durable Medical Equipment & Medical Supplies | 301 W. Stephen Foster Ave, Suite B., Bardstown, KY 40004 | 2012-12-14 |
| 1366790230 | Lynda Onyinyechi Uzonwune | Pharmacist | 202 West Stephen Foster Avenue, Bardstown, KY 40004 | 2012-08-26 |
| Find all providers in zip 40004 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558992792 | Stephanie Jo Johnson | Nurse Practitioner | 106 Riggs Blvd, Bardstown, KY 40004-8067 | 2020-01-27 |
| 1710548334 | Felicia Michelle Flanagan | Nurse Practitioner | 288 Wildcat Ln, Bardstown, KY 40004-9075 | 2019-06-25 |
| 1437628575 | Cumberland Family Medical Center, Inc | Nurse Practitioner | 1000 Templin Ave, Bardstown, KY 40004-2568 | 2018-11-19 |
| 1316416795 | Cumberland Family Medical Center, Inc | Nurse Practitioner | 410 N 5th St, Bardstown, KY 40004-1616 | 2018-11-15 |
| 1881163269 | Cumberland Family Medical Center, Inc | Nurse Practitioner | 980 Templin Ave, Bardstown, KY 40004-2508 | 2018-11-15 |
| 1669947735 | Kimberly Cote | Nurse Practitioner | 110 W John Rowan Blvd, Bardstown, KY 40004-2663 | 2018-10-04 |
| 1871078055 | Michelle Griffith | Nurse Practitioner | 111 Bertram Ct, Bardstown, KY 40004-6739 | 2018-10-03 |
| 1730697517 | Shannon Michelle Woods | Nurse Practitioner | 1095 Morton Ave, Bardstown, KY 40004 | 2018-01-16 |
| 1851835854 | Bridget Ann Nally | Nurse Practitioner | 301 Wildcat Ln, Bardstown, KY 40004-9076 | 2016-12-09 |
| 1508284845 | Andrea Noble Irwin | Nurse Practitioner | 4371 New Shepherdsville Rd, Suite 210, Bardstown, KY 40004-8040 | 2014-04-03 |
| Find all providers in BARDSTOWN | ||||
Please comment or provide details below to improve the information on COMPLETE PRIMARY CARE 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.