Individual provider Active NPI

Kimberly Ann Link, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1063584209
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3006789 Issued in KY
Practice address
350 Park St
Suite 204
Bowling Green, KY 42101-1784
Phone
(270) 843-5103
Fax
(270) 843-5104
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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 3006789 KY Primary

Addresses

Primary practice location

350 Park St
Suite 204
Bowling Green, KY 42101-1784

Mailing address

3536 Lucinda Dr
Bowling Green, KY 42104-4015
Phone (270) 792-1619

Other identifiers 1

IdentifierTypeStateIssuer
600019376MedicaidTN

Other names 1

  • Kimberly Ann Phillips Former name

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
I20150309002612 KY Practitioner - Nurse Practitioner 5890893135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

350 Park St
Suite 204
Bowling Green, KY 42101-1784
Phone (270) 843-5103

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bowling Green-Warren County Community Hospital Corporation Psychiatric/Mental Health CurrentSince Jun 1, 2015 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation CurrentSince Jun 1, 2015 Accepting new patients
Mental Health Centers & Clinics of Tennessee PastSince May 24, 2010 Accepting new patients
Evelyn M Frye Clinical Associates, PC PastSince Aug 30, 2009 Accepting new patients

Locations

2625 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 745-0942

350 Park St
Ste 204
Bowling Green, KY 42101
Phone (270) 796-6333

Organizations & group practices 4

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.

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1063584209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 LUCINDA DR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044015",
            "telephone_number": "270-792-1619",
            "fax_number": "270-843-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARK ST",
            "address_2": "SUITE 204",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011784",
            "telephone_number": "270-843-5103",
            "fax_number": "270-843-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINK",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3006789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600019376",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PHILLIPS",
            "middle_name": "ANN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.