Individual provider Active NPI

Rachel Maynard

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisa, KY
National Provider Identifier
1093467052
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3017341 Issued in KY
Practice address
108 W Madison St
Louisa, KY 41230-1327
Phone
(606) 826-0341
NPI assigned
Jan 21, 2022
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1093384 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3017341 KY Primary

Addresses

Primary practice location

108 W Madison St
Louisa, KY 41230-1327

Mailing address

PO Box 790
Ashland, KY 41105-0790

Other practice location 1

60 Professional Park Dr
Louisa, KY 41230-9644
Phone (606) 638-4332

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
I20220314000521 KY Practitioner - Nurse Practitioner 0648277129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians
Pathways IncGroup PAC ID 1254239171, 60 clinicians

Practice addresses (Care Compare)

108 W Madison St
Suite B
Louisa, KY 41230-1327
Phone (606) 826-0341

60 Professional Park Dr
Louisa, KY 41230-9644
Phone (606) 638-4332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1093384KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Physicians Inc CurrentSince Jun 1, 2025 Accepting new patients
Pathways, Inc CurrentSince Jan 17, 2022 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Jun 1, 2025 Accepting new patients
Pathways Inc Current Accepting new patients

Locations

3701 Landsdowne Dr
Ashland, KY 41102
Phone (606) 324-3005

108 W Madison St
Louisa, KY 41230
Phone (606) 638-4900

108 W Madison St
Ste A
Louisa, KY 41230
Phone (606) 638-0341

108 W Madison St
Ste B
Louisa, KY 41230
Phone (606) 826-0341

60 Professional Park Dr
Louisa, KY 41230
Phone (606) 356-0129

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, 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": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1093467052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411050790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W MADISON ST",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301327",
            "telephone_number": "606-826-0341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "KY",
            "postal_code": "412309644",
            "country_code": "US",
            "telephone_number": "606-638-4332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1093384",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3017341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

Verify at the official NPI Registry.