FYI HEALTHCARE CLINIC, PLLC
NPI 1619258498
Nurse Practitioner - Family in Beaver Dam, KY

Active since September 07, 2011CLIA 18D2035214 · Waiver
1219 N MAIN ST, SUITE 101, BEAVER DAM, KY 42320(270) 274-0638(270) 274-5600 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fyi Healthcare Clinic, Pllc NPPES

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

FYI HEALTHCARE CLINIC, PLLC (NPI 1619258498) is a healthcare organization registered as a family in Beaver Dam, Kentucky and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through January 11, 2028 and lists Susan Smith Rice, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1619258498
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFYI HEALTHCARE CLINIC, PLLC
Location Address1219 N MAIN ST, SUITE 101Beaver Dam, KY 42320-8955
Mailing Address1219 N Main St, Suite 101Beaver Dam, KY 42320-8955 · (270) 274-0638 · Fax (270) 274-5600
Fax(270) 274-5600
Organization SubpartNo
Authorized OfficialSusan Smith RiceCo-owner · (270) 274-0638
Enumeration DateSeptember 7, 2011
NPI 1619258498 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 · 3003830
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License 13394 (KY)
1219 N MAIN ST, Beaver Dam, KY 42320

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 18D2035214

Fyi Healthcare Clinic, PLLC · Beaver Dam, KY
Active · expires Jan 11, 2028
CLIA Number18D2035214
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 12, 2026
Certificate Expiration DateJanuary 11, 2028
Laboratory DirectorSusan S. Rice
Laboratory Phone(270) 274-0638
Laboratory LocationFyi Healthcare Clinic, PLLC1219 North Main Street, Suite 101, Beaver Dam, KY 42320
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Family Medicine
1219 N MAIN ST
BEAVER DAM, KY 42320
Family Medicine
1219 N MAIN ST
BEAVER DAM, KY 42320
Nurse Practitioner
1219 N MAIN ST
BEAVER DAM, KY 42320
Internal Medicine (Addiction Medicine)
1219 N MAIN ST
BEAVER DAM, KY 42320
Family Medicine
1219 N MAIN ST
BEAVER DAM, KY 42320

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 Fyi Healthcare Clinic, PLLC's NPI number?

The NPI number for Fyi Healthcare Clinic, PLLC is 1619258498. It was assigned to this organization in the NPPES registry on September 7, 2011.

Where is Fyi Healthcare Clinic, PLLC located?

Fyi Healthcare Clinic, PLLC is located at 1219 N Main St Suite 101, Beaver Dam, KY 42320. The listed phone number is (270) 274-0638.

What is Fyi Healthcare Clinic, PLLC's specialty?

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

Does Fyi Healthcare Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2035214) is associated with this NPI, valid through January 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fyi Healthcare Clinic, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Fyi Healthcare Clinic, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fyi Healthcare Clinic, PLLC was last updated on September 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.