Nisha Ashok Patel Prabhu, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

TC340 Issued in KY

Practice address

601 Versailles Rd
Frankfort, KY 40601-3857

Phone

(502) 695-3946

NPI assigned

Nov 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJBJAD

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1003211046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 VERSAILLES RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013857",
            "telephone_number": "502-695-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 VERSAILLES RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013857",
            "telephone_number": "502-695-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL PRABHU",
        "first_name": "NISHA",
        "middle_name": "ASHOK",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "TC340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX NUMBER",
            "identifier": "61-1358646",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Joanne Palmer, PTA
• Patricia L Palmer, CRNA
• Panacea Healthcare
• Saurabh Vishnukumar Parasramka, MD
• Anthony Michael Passarette
• Anish Patel
• Danny J Patrick, DMD
• John M Patterson, MD
• Elizabeth Ann Patton
• Susan L Payton, ARNP

• Medical Physician Assistant in Frankfort, KY
• Providers in Frankfort, KY by specialty
• Medical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.