Destiny Grove

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4024428 Issued in KY

Practice address

1012 Center Dr
Richmond, KY 40475-3838

Phone

(859) 626-9696

NPI assigned

Jul 17, 2024

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Care Clinic PSCGroup PAC ID 7214927268, 8 clinicians

Mountain Family Practice Clinic of Manchester IncGroup PAC ID 0143465617, 16 clinicians

Rural Health PLLCGroup PAC ID 6901039197, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3044/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.

• Family Health Care Clinic PSC

  • Rural Health Clinic/Center
  • Richmond, KY
  • NPI 1073717286
  Medicare reassignment Care Compare group NPD
• Mountain Family Practice Clinic of Manchester Inc

  • Rural Health Clinic/Center
  • Manchester, KY
  • NPI 1689919078
  Medicare reassignment Care Compare group NPD
• Family Practice Clinic of Booneville, Inc.

  • Rural Health Clinic/Center
  • Booneville, KY
  • NPI 1326152109
  Medicare reassignment NPD
• Lancaster Family Health Care

  • Rural Health Clinic/Center
  • Lancaster, KY
  • NPI 1942946710
  Medicare reassignment NPD
• Rural Health PLLC

  • Internal Medicine Physician
  • Berea, KY
  • NPI 1437574613
  Care Compare group

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1053159749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404760267",
            "telephone_number": "859-626-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 CENTER DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753838",
            "telephone_number": "859-626-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "DESTINY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4024428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Grigsby, DO
• William M. Grise, PHARM D
• Jennifer Leigh Gross, M.A. CCC-SLP
• Kendra Renee Gross, M.ED, LPCC
• Groundwork Rehabilitation Outreach
• Growing Voices Therapies, LLC
• Growth Within Acceptance Counseling and Consulting PLLC
• Jerry Lynn Grugin Jr., MSW
• Guelph LLC
• Naomi Louise Guffy, MS

• Psychiatric/Mental Health Nurse Practitioner in Richmond, KY
• Providers in Richmond, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.