Individual provider Active NPI

Kayla R Slusher, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Walton, KY
National Provider Identifier
1003693706
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0031450 Issued in OH
Practice address
62 Pine Top Dr
Walton, KY 41094-1079
Phone
(606) 776-4589
NPI assigned
Sep 14, 2023
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0031450 OH Primary

Addresses

Primary practice location

62 Pine Top Dr
Walton, KY 41094-1079

Mailing address

11690 Grooms Rd
Blue Ash, OH 45242-1412
Phone (513) 469-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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
I20240925003200 KY Practitioner - Nurse Practitioner 0547701922 Reassigns benefits to 1 organization
I20241025003424 OH Practitioner - Nurse Practitioner 0547701922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Hope LLCGroup PAC ID 1456729284, 4 clinicians

Practice addresses (Care Compare)

1324 Sr
125 Suite 203
Amelia, OH 45102-0015
Phone (859) 694-4000

8333 Alexandria Pike
Alexandria, KY 41001-1187
Phone (859) 694-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0031450OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hope LLC Psychiatric/Mental Health CurrentSince Jul 15, 2024 Accepting new patients

Locations

8333 Alexandria Pike
Alexandria, KY 41001
Phone (859) 694-4000

1324 State Route 125
Ste 203
Amelia, OH 45102
Phone (859) 694-4000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1003693706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11690 GROOMS RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421412",
            "telephone_number": "513-469-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 PINE TOP DR",
            "city": "WALTON",
            "state": "KY",
            "postal_code": "410941079",
            "telephone_number": "606-776-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUSHER",
        "first_name": "KAYLA",
        "middle_name": "R",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0031450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walton, KY

Sources for this page

Verify at the official NPI Registry.