Barbara Kaye Middleton, APRN, FNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Evarts, KY
NPI 1124583331 · NPPES record last updated Apr 8, 2019
Key facts
- NPI
- 1124583331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 3013119 (KY)
- Practice address
- 118 Howard St
Evarts, KY 40828-5936 - Phone
- (606) 909-0444
- NPI assigned
- Feb 1, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|---|
| I20190528002254 | KY | Practitioner - Nurse Practitioner | 8921341389 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013119 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current |
Accepting new patients |
Locations
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013119 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3013119 | KY | Yes |
Addresses
Primary practice location
118 Howard St
Evarts, KY 40828-5936
Mailing address
PO Box 307
Evarts, KY 40828-0307
Phone (606) 909-0444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3013119 | Other | KY | APRN LICENSE NUMBER |
Other providers in Evarts, KY
- Clover Fork Outpatient Medical Project Inc
- Sharon M Colton
- Cumberland Valley Dist. Health Dept.
- Discreet Therapy Services LLC.
- Rachel R Eubank
- William Morgan Miller
- My Time Counseling Services for Professionals, P.L.L.C.
- Jarrod Bradley Napier
- Michael W Napier
- Eric N Roberts
All providers in Evarts, KY · Psychiatric/Mental Health 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 Apr 8, 2019. 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.