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MAIN STREET FAMILY MEDICINE, LLC
NPI 1528097433
Nurse Practitioner - Family in Whitesville, KY

Active since July 02, 2006CLIA Certified · 2 labs
10015 MAIN ST, WHITESVILLE, KY 42378(270) 233-1884(270) 233-9520 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2022, Nov 4, 2021 (2 updates tracked since 2021).

About Main Street Family Medicine, Llc NPPES

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

MAIN STREET FAMILY MEDICINE, LLC (NPI 1528097433) is a healthcare organization registered as a family in Whitesville, Kentucky and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Owensboro, and lists Cynthia Dianne Glenn-birkhead, Owner, as its authorized official.

NPPES Registry Identity

NPI1528097433
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMAIN STREET FAMILY MEDICINE, LLC
Location Address10015 MAIN STWhitesville, KY 42378-9557
Mailing Address10015 Main StWhitesville, KY 42378-9557 · (270) 233-1884 · Fax (270) 233-9520
Phone(270) 233-1884
Fax(270) 233-9520
Organization SubpartNo
Authorized OfficialCynthia Dianne Glenn-birkheadOwner · (270) 233-1884
Enumeration DateJuly 2, 2006
Last NPPES UpdateMarch 21, 20222 updates tracked since enumeration
NPPES CertifiedMarch 21, 2022
✔ NPI 1528097433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 2848P
Also ListedPhysician AssistantTaxonomy 363A00000X
10015 MAIN ST, Whitesville, KY 42378
Open in Google Maps ↗

Secondary Practice Location 1

Location 12429 W Parrish Ave # 3Owensboro, KY 42301-2661 · Phone (270) 215-0325

Other Identifiers 2

OtherPASSPORTKY · 50010742
OtherBLUE CROSS BLUE SHIEKY · 000000480521

Group Practice 2

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2121162

Main Street Family Medicine · Owensboro, KY
Active · expires Oct 31, 2026
CLIA Number18D2121162
Laboratory TypePractitioner Other
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorCynthia Glenn-Birkhead
Laboratory Phone(270) 215-0325
Laboratory LocationMain Street Family Medicine2429 West Parrish Ave, Owensboro, KY 42301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D1055208

Main Street Family Medicine · Whitesville, KY
Active · expires Jun 11, 2028
CLIA Number18D1055208
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 12, 2026
Certificate Expiration DateJune 11, 2028
Laboratory DirectorMs. Cynthia D. Glenn-Birkhead
Laboratory Phone(270) 316-2688
Laboratory LocationMain Street Family Medicine10015 Main Street, Whitesville, KY 42378
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

TAMARA KAY RHODES NP,AGACNP
Nurse Practitioner
10015 MAIN ST
WHITESVILLE, KY 42378
Daviess County (270) 233-1884
KENTUCKY ORTHOPEDIC REHABILITATION, LLC
Clinic/Center (Rehabilitation)
10015 MAIN ST
WHITESVILLE, KY 42378
Daviess County (270) 233-8007
CYNTHIA DIANE GLENN-BIRKHEAD ARNP
Nurse Practitioner (Family)
10015 MAIN ST
WHITESVILLE, KY 42378
Daviess County (270) 233-1884
MEGAN MARIE AUD DPT, PT, ATC
Physical Therapist
10015 MAIN ST
WHITESVILLE, KY 42378
Daviess County (270) 233-8007

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 Family Medicine, LLC's NPI number?

The NPI number for Main Street Family Medicine, LLC is 1528097433. It was assigned to this organization in the NPPES registry on July 2, 2006.

Where is Main Street Family Medicine, LLC located?

Main Street Family Medicine, LLC is located at 10015 Main St, Whitesville, KY 42378. The listed phone number is (270) 233-1884.

What is Main Street Family Medicine, LLC's specialty?

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

Does Main Street Family Medicine, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Main Street Family Medicine, LLC was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.