Katherine Haydon Baldwin, NP-C
Individual provider Active NPI Family Nurse Practitioner · Elizabethtown, KY
NPI 1114437795 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1114437795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3011744 (KY)
- Practice address
- 3970 Bardstown Rd
Elizabethtown, KY 42701-9787 - Phone
- (844) 435-0900
- Fax
- (270) 858-4029
- NPI assigned
- Oct 9, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190423000994 | KY | Practitioner - Nurse Practitioner | 7416299417 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Family Medical Center Inc | Current |
Accepting new patients | |
| Cumberland Family Medical Center Inc | Current |
Accepting new patients | |
| Meade County Pediatrics PLLC | Past | Accepting new patients |
Locations
360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472
3154 Bardstown Rd
Elizabethtown, KY 42701
Phone (270) 737-7227
3970 Bardstown Rd
Elizabethtown, KY 42701
Phone (270) 737-7227
801 S Logsdon Pkwy
Radcliff, KY 40160
Phone (270) 351-3167
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AAAIBD/Endpoint/AAAIBD
- baldwin.katherine.002.0170014@cfmc.meditab.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3011744 | KY | Yes |
Addresses
Primary practice location
3970 Bardstown Rd
Elizabethtown, KY 42701-9787
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14109510 | Other | CAQH | |
| 7100498910 | Medicaid | KY |
Other providers in Elizabethtown, KY
- Maddalynn Bailey
- Cassandra Baker
- Cassandra Elizabeth Baker
- Nelson Kayne Baker
- Nicolle Baker
- Thomas Michael Baldwin
- Marquita Hanna Ball
- Shelby Ball
- Erin Ballard
- Jena Rae Ballard
All providers in Elizabethtown, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.