Individual provider Active NPI

Kristen Nicole Hedger

  • Optician
  • Frankfort, KY
National Provider Identifier
1104556018
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
110428 Issued in KY
Practice address
301 Leonardwood Rd
Frankfort, KY 40601-6531
Phone
(502) 227-7795
Fax
(502) 227-5731
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 110428 KY Primary

Addresses

Primary practice location

301 Leonardwood Rd
Frankfort, KY 40601-6531

Mailing address

2265 Evergreen Rd
Frankfort, KY 40601-9700
Phone (502) 227-7795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110428KYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1104556018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 EVERGREEN RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406019700",
            "telephone_number": "502-227-7795",
            "fax_number": "502-227-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LEONARDWOOD RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016531",
            "telephone_number": "502-227-7795",
            "fax_number": "502-227-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGER",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "110428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.