Individual provider Active NPI

Katherine Haydon Baldwin, NP-C

  • Family Nurse Practitioner
  • Elizabethtown, KY
National Provider Identifier
1114437795
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011744 Issued in KY
Practice address
3970 Bardstown Rd
Elizabethtown, KY 42701-9787
Phone
(844) 435-0900
Fax
(270) 858-4029
NPI assigned
Oct 9, 2017
Last updated
May 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011744 KY Primary

Addresses

Primary practice location

3970 Bardstown Rd
Elizabethtown, KY 42701-9787

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655

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
I20190423000994 KY Practitioner - Nurse Practitioner 7416299417 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Family Medical Center Inc CurrentSince Mar 19, 2019 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Mar 19, 2019 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

  • Direct secure messaging: baldwin.katherine.002.0170014@cfmc.meditab.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AAAIBD/Endpoint/AAAIBD

Organizations & group practices 3

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": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1114437795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-858-6655",
            "fax_number": "270-858-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 BARDSTOWN RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019787",
            "telephone_number": "844-435-0900",
            "fax_number": "270-858-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "KATHERINE",
        "middle_name": "HAYDON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.