Active NPI
Kim Ann Harley, APRN
- Family Nurse Practitioner
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3010109
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100240560 | Medicaid | KY |
Other names 1
- Kim Ann Ringer
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 71004326A | IN | MD | Adult Health Nurse Practitioner |
| 3010109 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Family | Current | Accepting new patients |
| Owensboro Health Medical Group, Inc | Family | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | 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
- https://fhir-myrecord.cerner.com/r4/775a5afe-736f-4ab9-8474-145e99d69207/
- 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.
-
dba Owensboro Health Medical Group - EKG Professional Services
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
IN
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
Family
-
dba Owensboro Health Medical Group - Family Medicine
- Family Medicine Physician
- Owensboro, KY
- NPI 1457731515
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
-
- Critical Access Hospital
- Tell City, IN
- NPI 1699779017
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.