Angie Ethridge Aprn PLLC
NPI 1548638240ActiveOrganization· Nurse Practitioner, Family· Coxs Creek, KY
Nurse Practitioner, Family in Coxs Creek, Kentucky, registered in NPPES in September 2015. The authorized official on file is Angela D. Ethridge, APRN, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548638240 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 11, 2015 |
| Last updated in NPPES | May 8, 2024 |
| Certified by provider | May 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
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