OrganizationActive
Children1st
NPI 1639526940 · Point of Service · Elizabethtown, KY
Provider details
- NPI number
- 1639526940
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Tracey Fowl, Developmental Interventionist(270) 300-2044
- License
- EDSP 71846 (KY)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
104 Holiday Court
Elizabethtown, KY 42701-8809
Phone: (270) 300-2044
Fax: (270) 360-3271
Street-level locationGet directions
Mailing address
104 Holiday Ct
Elizabethtown, KY 42701-6490
Registry dates
- Enumerated
- 2016-05-17
- Last updated
- 2016-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.