CRAB ORCHARD FAMILY PRACTICE CLINIC, INC.
NPI 1033112362
Nurse Practitioner in Crab Orchard, KY

Active since May 31, 2005
207 MAIN ST, CRAB ORCHARD, KY 40419(606) 355-7300(606) 355-7310 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Crab Orchard Family Practice Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRAB ORCHARD FAMILY PRACTICE CLINIC, INC. (NPI 1033112362) is a healthcare organization registered as a nurse practitioner in Crab Orchard, Kentucky and active in the NPI registry since May 2005. The organization lists Robert A. Carter, President, as its authorized official.

NPPES Registry Identity

NPI1033112362
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameCRAB ORCHARD FAMILY PRACTICE CLINIC, INC.
Location Address207 MAIN STCrab Orchard, KY 40419-9697
Mailing AddressPo Box 1125Corbin, KY 40702-1125 · (606) 528-0283 · Fax (606) 528-8422
Fax(606) 355-7310
Organization SubpartNo
Authorized OfficialRobert A. CarterPresident · (606) 528-0283
Enumeration DateMay 31, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1033112362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in KY · 3630P
Definition

(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.

207 MAIN ST, Crab Orchard, KY 40419

Other Identifiers 1

Medicaid35-001353KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
207 MAIN ST
CRAB ORCHARD, KY 40419
Family Medicine
207 MAIN ST
CRAB ORCHARD, KY 40419

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033112362, enumerated as an "organization" on May 31, 2005.

The provider is located at 207 MAIN ST CRAB ORCHARD, KY 40419 and the phone number is (606) 355-7300.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.