Ellen E Hedges, ARNP, BC, MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2838P Issued in KY

Practice address

1011 W Main St
Suite B
Princeton, KY 42445-1219

Phone

(270) 365-0310

Fax

(270) 365-0480

NPI assigned

Aug 12, 2005

Last updated

Jan 31, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1093717670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W MAIN ST",
            "address_2": "SUITE B",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424451219",
            "telephone_number": "270-365-0310",
            "fax_number": "270-365-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W MAIN ST",
            "address_2": "SUITE B",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424451219",
            "telephone_number": "270-365-0310",
            "fax_number": "270-365-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGES",
        "first_name": "ELLEN",
        "middle_name": "E",
        "credential": "ARNP, BC, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "2838P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78028388",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000505346",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Princeton, KY
• Providers in Princeton, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.