Individual provider Active NPI

Kim Ann Harley, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1003155029
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010109 Issued in KY
Practice address
2211 Mayfair Dr Ste 102
Owensboro, KY 42301-4569
Phone
(270) 688-1351
Fax
(270) 688-3342
NPI assigned
Feb 12, 2013
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71004326A IN
Family Nurse Practitioner 363LF0000X 3010109 KY Primary

Addresses

Primary practice location

2211 Mayfair Dr Ste 102
Owensboro, KY 42301-4569

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

27 US Highway 66 E
Tell City, IN 47586-2044
Phone (812) 395-2011

Other practice location 2

811 E Parrish Ave Ste 102-B
Owensboro, KY 42303-3258
Phone (270) 688-1009

Other identifiers 1

IdentifierTypeStateIssuer
7100240560MedicaidKY

Other names 1

  • Kim Ann Ringer Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address kharley42723@direct.owensborohealth.org
Direct Messaging Address kharley42723@direct.owensborohealth.org
Direct Messaging Address kharley42723@direct.owensborohealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130529000769 IN Practitioner - Nurse Practitioner 4880832062 Reassigns benefits to 1 organization
I20160420001795 KY Practitioner - Nurse Practitioner 4880832062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

27 US Hwy 66 E
Tell City, IN 47586-2044
Phone (812) 395-2011

421 7TH St
Tell City, IN 47586-2202
Phone (812) 547-7448

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71004326AINMDAdult Health Nurse Practitioner
3010109KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc Family CurrentSince Mar 28, 2016 Accepting new patients
Owensboro Health Medical Group, Inc Family CurrentSince Jul 1, 2019 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Mar 28, 2016 Accepting new patients

Locations

27 US Highway 66 E
Tell City, IN 47586
Phone (812) 395-2011

1000 Breckenridge St
Ste 401
Owensboro, KY 42303
Phone (270) 685-1066

1325 Triplett St
#A
Owensboro, KY 42303
Phone (270) 686-8500

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

811 E Parrish Ave
#102B
Owensboro, KY 42303
Phone (270) 688-1009

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/775a5afe-736f-4ab9-8474-145e99d69207/
  • Direct secure messaging: kharley42723@direct.owensborohealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1003155029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MAYFAIR DR STE 102",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014569",
            "telephone_number": "270-688-1351",
            "fax_number": "270-688-3342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 US Highway 66 E",
            "address_purpose": "LOCATION",
            "city": "Tell City",
            "state": "IN",
            "postal_code": "475862044",
            "country_code": "US",
            "telephone_number": "812-395-2011",
            "fax_number": "812-395-2012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 E Parrish Ave Ste 102-B",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423033258",
            "country_code": "US",
            "telephone_number": "270-688-1009",
            "fax_number": "270-688-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLEY",
        "first_name": "KIM",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71004326A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100240560",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kharley42723@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "2211 Mayfair Dr Ste 102",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423014569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kharley42723@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "27 US Highway 66 E",
            "city": "Tell City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475862044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kharley42723@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "811 E Parrish Ave Ste 102-B",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423033258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "RINGER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.