CARRICO CONGLETON FAMILY PRACTICE, LLC
NPI 1750665162
Nurse Practitioner in Owensboro, KY

Q: What is Carrico Congleton Family Practice, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 04, 2011CLIA 18D2030174 · Waiver

2811 NEW HARTFORD ROAD, SUITE B, OWENSBORO, KY 42303(270) 215-0234(270) 215-0316 Get Directions Write a Review

NPPES record last updated: February 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 21, 2019, Jul 13, 2017 (2 updates tracked since 2017).

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About Carrico Congleton Family Practice, Llc NPPES

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

CARRICO CONGLETON FAMILY PRACTICE, LLC (NPI 1750665162) is a healthcare organization registered as a nurse practitioner in Owensboro, Kentucky and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Judy A Carrico, Owner, as its authorized official.

NPPES Registry Identity

NPI1750665162

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameCARRICO CONGLETON FAMILY PRACTICE, LLC

Location Address2811 NEW HARTFORD ROAD, SUITE BOwensboro, KY 42303-1320

Mailing Address2811 New Hartford Rd Ste BOwensboro, KY 42303-1384 · (270) 215-0234 · Fax (270) 215-0316

Phone(270) 215-0234

Fax(270) 215-0316

Organization SubpartNo

Authorized OfficialJudy A CarricoOwner · (270) 215-0234

Enumeration DateOctober 4, 2011

Last NPPES UpdateFebruary 21, 20192 updates tracked since enumeration

✔ NPI 1750665162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

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.

2811 NEW HARTFORD ROAD, Owensboro, KY 42303

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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 18D2030174

Carrico Congleton Family Practice · Owensboro, KY

Active · expires Sep 21, 2027

CLIA Number18D2030174

Laboratory TypePractitioner Other

Certificate Effective DateSeptember 22, 2025

Certificate Expiration DateSeptember 21, 2027

Laboratory DirectorJudy A. Carrico

Laboratory Phone(270) 215-0234

Laboratory LocationCarrico Congleton Family Practice2811 New Hartford Road, Ste B, Owensboro, KY 42303

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 2

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

TERRI D CONGLETON ARNP

Nurse Practitioner (Family)

2811 NEW HARTFORD ROAD, SUITE B
OWENSBORO, KY 42303

Daviess County (270) 215-0234

MRS. JUDY ANN CARRICO ARNP

Nurse Practitioner

2811 NEW HARTFORD ROAD, SUITE B
OWENSBORO, KY 42303

Daviess County (270) 215-0234

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 Carrico Congleton Family Practice, LLC's NPI number?

The NPI number for Carrico Congleton Family Practice, LLC is 1750665162. It was assigned to this organization in the NPPES registry on October 4, 2011.

Where is Carrico Congleton Family Practice, LLC located?

Carrico Congleton Family Practice, LLC is located at 2811 New Hartford Road Suite B, Owensboro, KY 42303. The listed phone number is (270) 215-0234.

What is Carrico Congleton Family Practice, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Carrico Congleton Family Practice, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2030174) is associated with this NPI, valid through September 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carrico Congleton Family Practice, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Carrico Congleton Family Practice, LLC 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 Carrico Congleton Family Practice, LLC was last updated on February 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.