MAIN STREET CLINIC, LLC
NPI 1477930246
Nurse Practitioner - Family in Cumberland, KY

Active since April 30, 2015
900 E MAIN ST, CUMBERLAND, KY 40823(606) 233-1132 Get Directions Write a Review

NPPES record last updated: May 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Main Street Clinic, Llc NPPES

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

MAIN STREET CLINIC, LLC (NPI 1477930246) is a healthcare organization registered as a family in Cumberland, Kentucky and active in the NPI registry since April 2015. The organization lists Brianna Cornett, Owner, as its authorized official.

NPPES Registry Identity

NPI1477930246
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMAIN STREET CLINIC, LLC
Location Address900 E MAIN STCumberland, KY 40823-1714
Mailing AddressPo Box 320Cumberland, KY 40823-0320 · (606) 233-1132
Organization SubpartNo
Authorized OfficialBrianna CornettOwner · (606) 233-1132
Enumeration DateApril 30, 2015
Last NPPES UpdateMay 2, 2016
NPI 1477930246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3008624
900 E MAIN ST, Cumberland, KY 40823

Other Identifiers 1

Medicaid7100298620KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner
900 E MAIN ST
CUMBERLAND, KY 40823

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Main Street Clinic, LLC's NPI number?

The NPI number for Main Street Clinic, LLC is 1477930246. It was assigned to this organization in the NPPES registry on April 30, 2015.

Where is Main Street Clinic, LLC located?

Main Street Clinic, LLC is located at 900 E Main St, Cumberland, KY 40823. The listed phone number is (606) 233-1132.

What is Main Street Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Main Street Clinic, LLC was last updated on May 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.