Active NPI
Katherine Barker, FNP-C
- Family Nurse Practitioner
- Jeffersonville, IN
National Provider Identifier
1073198081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3015215
- Practice address
- 255 Quartermaster CT
Jeffersonville, IN 47130-3669 - Phone
- (812) 282-4485
- NPI assigned
- Mar 11, 2021
- Last updated
- Aug 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71012740A | IN | |
| Family Nurse Practitioner | 363LF0000X | 3015215 | KY | Primary |
Addresses
Primary practice location
255 Quartermaster CT
Jeffersonville, IN 47130-3669
Mailing address
2620 Elm Hill Pike
Nashville, TN 37214-3108
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71012740A | Other | IN | INDIANA BOARD OF NURSING |
| 1154111 | Other | KY | KENTUCKY BOARD OF NURSING |
| 3015215 | Other | KY | KENTUCKY BOARD OF NURSING |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3014215 | KY | MD | Nurse Practitioner |
| 71012740A | IN | MD | Family Nurse Practitioner |
| 3015215 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiosk Medicine Kentucky LLC | Family | Current | Accepting new patients |
| Alternative Health Solutions LLC | Past | Accepting new patients |
Locations
2440 Bardstown Rd
Louisville, KY 40205
Phone (502) 459-3248
3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1205885035
-
dba BluMine Health Quartermaster
- Primary Care Clinic/Center
- Jeffersonville, IN
- NPI 1801251624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1073198081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 ELM HILL PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 QUARTERMASTER CT",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303669",
"telephone_number": "812-282-4485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKER",
"first_name": "KATHERINE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-11",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71012740A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3015215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA BOARD OF NURSING",
"identifier": "71012740A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF NURSING",
"identifier": "1154111",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF NURSING",
"identifier": "3015215",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.