Kristy L Redden, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

1165833 Issued in KY

Practice address

289 Swain Rd
Pine Knot, KY 42635-9140

Phone

(606) 516-0408

NPI assigned

Dec 2, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1003632415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 SWAIN RD",
            "city": "PINE KNOT",
            "state": "KY",
            "postal_code": "426359140",
            "telephone_number": "606-516-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 SWAIN RD",
            "city": "PINE KNOT",
            "state": "KY",
            "postal_code": "426359140",
            "telephone_number": "606-516-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDEN",
        "first_name": "KRISTY",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "KY",
            "license": "1165833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Cumberlane District Health Dept
• Madonna L Loudermilk, APRN
• LP Pine Knot, LLC
• McCreary Health & Rehabilitation Center, LLC
• James Wesley Murphy, PHARMD
• Carla Renee Reeves, PTA
• Tiffany Saxon
• Joshua W Sharp
• Barry Shannon Spradlin
• Usp McCreary

• General Practice Registered Nurse in Pine Knot, KY
• Providers in Pine Knot, KY by specialty
• General Practice Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.