EDMONTON PRIMARY CARE NURSING GROUP
NPI 1629240759
Nurse Practitioner - Family in Edmonton, KY

Active since March 28, 2008
903 WEST STOCKTON STREET, EDMONTON, KY 42129(270) 432-5782(270) 432-0001 Get Directions Write a Review

NPPES record last updated: March 28, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Family

About EDMONTON PRIMARY CARE NURSING GROUP

This page provides the complete NPI Profile along with additional information for Edmonton Primary Care Nursing Group, a provider established in Edmonton, Kentucky operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1629240759 assigned on March 2008. The practitioner's primary taxonomy code is 363LF0000X with license number 1854P (KY). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Rex A Tungate (Ceo, Administrator)

NPI
1629240759 Verify this NPI
Provider Name
EDMONTON PRIMARY CARE NURSING GROUP
Entity Type
Organization
Location Address
903 WEST STOCKTON STREET EDMONTON, KY 42129
Location Phone
(270) 432-5782
Location Fax
(270) 432-0001
Mailing Address
903 WEST STOCKTON STREET EDMONTON, KY 42129
Mailing Phone
(270) 432-5782
Mailing Fax
(270) 432-0001
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-28-2008
Last Update Date
03-28-2008
Code Navigator

A nurse practitioner (NP) like Edmonton Primary Care Nursing Group is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1854P
License State
KY

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. REX A TUNGATE

Authorized Official Title
CEO, ADMINISTRATOR
Authorized Official Phone
(270) 384-4753

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7890217800MEDICAID (05)KY 

Reviews for EDMONTON PRIMARY CARE NURSING GROUP

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
903 WEST STOCKTON STREET
EDMONTON, KY 42129

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629240759, enumerated as an "organization" on March 28, 2008.

The provider is located at 903 WEST STOCKTON STREET EDMONTON, KY 42129 and the phone number is (270) 432-5782.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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