Individual provider Active NPI

Kyra N Gambrel, APRN

  • Nurse Practitioner
  • London, KY
National Provider Identifier
1083929236
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3006559 Issued in KY
Practice address
1210 West 5TH Street
London, KY 40741-2112
Phone
(606) 864-4040
Fax
(606) 864-3500
NPI assigned
Aug 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3006559 KY Primary

Addresses

Primary practice location

1210 West 5TH Street
London, KY 40741-2112

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7818

Other identifiers 2

IdentifierTypeStateIssuer
12171291OtherCAQH
6559POtherKYARNP

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
I20100928000715 KY Practitioner - Nurse Practitioner 5890811814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentuckyone Health Medical Group IncGroup PAC ID 8820993702, 260 clinicians

Practice addresses (Care Compare)

1001 Saint Joseph LN
London, KY 40741-8345
Phone (606) 330-6000

1025 Saint Joseph LN
London, KY 40741-8345
Phone (606) 330-2370

1401 Harrodsburg Rd
Suite A300
Lexington, KY 40504-3787
Phone (859) 276-4429

2750 Battlefield Memorial Hwy
Berea, KY 40403-8332
Phone (859) 968-0302

305 Estill St
Berea, KY 40403-1742
Phone (859) 986-8418

Hospital & facility affiliations

  • Saint Joseph London Hospital, London, KY, CCN 180011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Nurse Practitioner CurrentSince Jan 1, 2014 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1500 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 330-6000

470 Linden Ave
Ste 1
Harrodsburg, KY 40330
Phone (859) 733-4880

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1210 W 5th St
London, KY 40741
Phone (606) 864-4030

1025 Saint Joseph Ln
London, KY 40741
Phone (606) 330-2370

100 E Liberty St
Ste 800
Louisville, KY 40202
Phone (502) 540-3339

65 Glenndale Rd
Manchester, KY 40962
Phone (606) 598-0407

Interoperability endpoints

  • Direct secure messaging: kgambrel275263@direct.stlukeshealth.org
  • Direct secure messaging: kyragambrel@kysjhspe.allscriptsdirect.net

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 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": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1083929236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7818",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 WEST 5TH STREET",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412112",
            "telephone_number": "606-864-4040",
            "fax_number": "606-864-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBREL",
        "first_name": "KYRA",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12171291",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP",
            "identifier": "6559P",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.