Individual provider Active NPI

Kathryn Poe Egan, A.R.N.P.

  • Family Nurse Practitioner
  • Maysville, KY
National Provider Identifier
1063584472
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3765P Issued in KY
Practice address
927 Kenton Station Dr
Maysville, KY 41056-9617
Phone
(606) 759-0433
Fax
(606) 759-0058
NPI assigned
Nov 14, 2006
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3765P KY Primary

Addresses

Primary practice location

927 Kenton Station Dr
Maysville, KY 41056-9617

Mailing address

991 Medical Park Dr
Ste 301
Maysville, KY 41056-8764
Phone (606) 759-4852

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
I20071011000027 KY Practitioner - Nurse Practitioner 1456447176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 W McDonald Pkwy
Maysville, KY 41056-1164
Phone (859) 509-5636

432 16TH St
Ashland, KY 41101-7693
Phone (859) 509-5636

525 Tucker Dr
Maysville, KY 41056-9182
Phone (859) 509-5636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3765PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County Primary Care Center, Inc. CurrentSince Jul 5, 2022 Accepting new patients
Lewis County Primary Care Center, Inc. CurrentSince Jul 5, 2022 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince May 1, 2022 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince May 1, 2022 Accepting new patients
Take Care Health Kentucky, P.S.C. Family Past Accepting new patients

Locations

432 16th St
Ashland, KY 41101
Phone (859) 509-5636

1551 Augusta Chatham Rd
Augusta, KY 41002
Phone (606) 756-2117

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

520 Elizaville Ave
Flemingsburg, KY 41041
Phone (606) 845-0028

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

645 Interstate Dr
Grayson, KY 41143
Phone (606) 474-0669

420 Martin Luther King Hwy
Maysville, KY 41056
Phone (606) 375-4817

525 Tucker Dr
Maysville, KY 41056
Phone (606) 759-0002

910 Kenton Station Dr
Maysville, KY 41056
Phone (606) 759-0490

927 Kenton Station Dr
Maysville, KY 41056
Phone (606) 759-0433

927 Kenton Station Dr
Fl 2
Maysville, KY 41056

211 Ky 59
Vanceburg, KY 41179
Phone (606) 793-3029

Interoperability endpoints

  • Direct secure messaging: kathryn.egan.1@13661.direct.athenahealth.com

Organizations & group practices 5

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1063584472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 MEDICAL PARK DR",
            "address_2": "STE 301",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568764",
            "telephone_number": "606-759-4852",
            "fax_number": "606-759-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 KENTON STATION DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569617",
            "telephone_number": "606-759-0433",
            "fax_number": "606-759-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "KATHRYN",
        "middle_name": "POE",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3765P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

Verify at the official NPI Registry.