Individual provider Active NPI

Kristen Rae Hord, P.A.-C

  • Medical Physician Assistant
  • Louisville, KY
National Provider Identifier
1023361003
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
TC154 Issued in KY
Practice address
3900 Kresge Way
Ste 30
Louisville, KY 40207-4660
Phone
(502) 891-8700
Fax
(502) 891-8752
NPI assigned
Oct 16, 2012
Last updated
Oct 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TC154 KY Primary

Addresses

Primary practice location

3900 Kresge Way
Ste 30
Louisville, KY 40207-4660

Mailing address

3900 Kresge Way
Ste 30
Louisville, KY 40207-4660
Phone (502) 891-8700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130130000138 KY Practitioner - Physician Assistant 1658525530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women First of Louisville PLLCGroup PAC ID 9638063936, 23 clinicians

Practice addresses (Care Compare)

3900 Kresge Way
Suite 30
Louisville, KY 40207-4680
Phone (502) 891-8700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TC154KYMDPhysician Assistant

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1023361003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 KRESGE WAY",
            "address_2": "STE 30",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074660",
            "telephone_number": "502-891-8700",
            "fax_number": "502-891-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 KRESGE WAY",
            "address_2": "STE 30",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074660",
            "telephone_number": "502-891-8700",
            "fax_number": "502-891-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORD",
        "first_name": "KRISTEN",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "TC154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.