CROSSROAD FAMILY MEDICINE
NPI 1750785150
Nurse Practitioner in Campbellsville, KY
NPI Status: Active since October 14, 2014
Contact Information
150 W BEAR TRACK RD
CAMPBELLSVILLE, KY
ZIP 42718
Phone: (270) 465-8133
Fax: (270) 789-1543
- Organization
- Nurse Practitioner
About CROSSROAD FAMILY MEDICINE
This page provides the complete NPI Profile along with additional information for Crossroad Family Medicine, a provider established in Campbellsville, Kentucky operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1750785150 assigned on October 2014. The practitioner's primary taxonomy code is 363L00000X with license number 3007692 (KY). The provider is registered as an organization and their NPI record was last updated 11 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 provider's is doing business as Crossroad Family Medicine. The authorized official of this NPI record is Mrs. Gerri Monhollen (Credentialing Manager)
- NPI
- 1750785150
- Provider Legal Name
- JEROME ANTHONY DIXON D O P S C
- Other Organization Name
- CROSSROAD FAMILY MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 150 W BEAR TRACK RD CAMPBELLSVILLE, KY 42718
- Location Phone
- (270) 465-8133
- Location Fax
- (270) 789-1543
- Mailing Address
- 150 W BEAR TRACK RD CAMPBELLSVILLE, KY 42718
- Mailing Phone
- (270) 465-8133
- Mailing Fax
- (270) 789-1543
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-14-2014
- Last Update Date
- 10-14-2014
- Code Navigator
A nurse practitioner (NP) like Crossroad Family Medicine 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
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 3007692
- License State
- KY
- Taxonomy Description
- (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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 1071186 (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.
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 |
|---|---|---|---|
| K124130 | MEDICARE PIN (08) | KY | |
| K079192 | MEDICARE PIN (08) | KY |
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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 | 7 | 5 | 0 | 7 | 8 | 5 | 1 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 14 | 8 | 10 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 4 + 8 + 1 + 0 + 1 + 1 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1750785150 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1215919451 | MR. JEROME ANTHONY DIXON D.O. Individual | Family Medicine | 150 W BEAR TRACK RD CAMPBELLSVILLE, KY 42718 (270) 465-8133 |
| 1942540984 | CROSSROADS FAMILY MEDICINE Organization | Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine) | 150 W BEAR TRACK RD CAMPBELLSVILLE, KY 42718 (270) 465-8133 |
| 1508932955 | JEROME ANTHONY DIXON D O P S C Organization | Family Medicine | 150 W BEAR TRACK RD CAMPBELLSVILLE, KY 42718 (270) 465-8133 |
| 1649671827 | PREMIERTOX 2.0 INC. Organization | Clinical Medical Laboratory | 150 W BEAR TRACK RD CAMPBELLSVILLE, KY 42718 (270) 858-3343 |
| 1235695677 | LORI ANN JACKSON ARNP Individual | Nurse Practitioner (Family) | 150 W BEAR TRACK RD CAMPBELLSVILLE, KY 42718 (270) 465-8133 |
| 1710559463 | PERSONAL GERI-CARE PSC Organization | Family Medicine (Geriatric Medicine) | 150 W BEAR TRACK RD CAMPBELLSVILLE, KY 42718 (270) 465-8133 |
| 1023704483 | WILLIAM PATRICK REED Individual | Physician Assistant (Medical) | 150 W BEAR TRACK RD CAMPBELLSVILLE, KY 42718 (270) 465-8133 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750785150, enumerated in the NPI registry as an "organization" on October 14, 2014
The provider is located at 150 W Bear Track Rd Campbellsville, Ky 42718 and the phone number is (270) 465-8133
This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 14, 2014. 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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