Kelly D Faulkner, A.R.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4806P Issued in KY

Practice address

5150 Village Square Drive
Paducah, KY 42001-9060

Phone

(270) 415-9575

Fax

(270) 415-9576

NPI assigned

May 19, 2006

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

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly@pppky.emadirect.md
• FHIR API: https://api.platform.athenahealth.com/18815/brand/1/csg/1/fhir/r4

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

• Paducah Physiatric Partners P.S.C.

  • Physical Medicine & Rehabilitation Physician
  • Paducah, KY
  • NPI 1841383353

  KY, Nurse Practitioner

  Medicare reassignment NPD
• Jeffrey L. Riney M.D. & Associates PLLC

  • Family Medicine Physician
  • Paducah, KY
  • NPI 1023280674
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1013961895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7208",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420027208",
            "telephone_number": "270-415-9575",
            "fax_number": "270-415-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 VILLAGE SQUARE DRIVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019060",
            "telephone_number": "270-415-9575",
            "fax_number": "270-415-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "KELLY",
        "middle_name": "D",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4806P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcy L Farmer
• Carla Lake Farr IV
• Brian Thomas Farrell, M.D./PH.D.
• Fast Pace Kentucky PLLC
• Jennifer Faughn
• Leslie Faulkner, LPCA
• Mia Faulkner, LPCA
• Michael Wade Faulkner, M.D.
• Abigail Grace Faust
• Simone A Fearon, M.D.

• All providers in Paducah, KY
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.