SOUTH SHORE FAMILY MEDICAL CLINIC
NPI 1497232722
Nurse Practitioner - Family in South Shore, KY
NPI Status: Active since July 19, 2018
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 18D2095629
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 05-07-2027
About SOUTH SHORE FAMILY MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for South Shore Family Medical Clinic, a provider established in South Shore, Kentucky operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1497232722 assigned on July 2018. The practitioner's primary taxonomy code is 363LF0000X with license number 3006463 (KY). The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is James Lee Ryan Nurse Practitioner (Fnp)
- NPI
- 1497232722
- Provider Name
- SOUTH SHORE FAMILY MEDICAL CLINIC
- Entity Type
- Organization
- Location Address
- 74 BIGGS LN SOUTH SHORE, KY 41175
- Location Phone
- (606) 498-4232
- Mailing Address
- 37 CHRISTOPHER DR SOUTH SHORE, KY 41175
- Mailing Phone
- (594) 210-4458
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-19-2018
- Last Update Date
- 07-19-2018
- Code Navigator
A nurse practitioner (NP) like South Shore Family Medical Clinic 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.
- 3006463
- License State
- KY
Group Taxonomy 193400000X 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D2095629
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- May 08, 2025
- Certificate Expiration Date
- May 07, 2027
- Laboratory Director
- DR. WILLIAM C. DANHAM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to South Shore Family Medical Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 2 | 3 | 2 | 7 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 4 | 3 | 4 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 4 + 3 + 4 + 7 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1497232722 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497232722, enumerated in the NPI registry as an "organization" on July 19, 2018
The provider is located at 74 Biggs Ln South Shore, Ky 41175 and the phone number is (606) 498-4232
This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider's CLIA number is 18D2095629 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 19, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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