Active NPI
Teina R Thrasher, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Monticello, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3015867
- Practice address
- 1025 S Main Street
Monticello, KY 42633-2762 - Phone
- (606) 340-8870
- Fax
- (606) 340-9828
- NPI assigned
- Jan 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3015867 | KY | Primary |
Addresses
Primary practice location
1025 S Main Street
Monticello, KY 42633-2762
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15096960 | Other | CAQH | |
| 7100728700 | Medicaid | KY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210429002860 | KY | Practitioner - Nurse Practitioner | 5092124263 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cumberland Family Medical Center IncSerenity Counseling Services LLC
Practice addresses (Care Compare)
1025 S Main St
Monticello, KY 42633-2762
Phone (606) 340-8870
1080 S Main St
Monticello, KY 42633-2762
Phone (844) 435-0900
112 Office Park Dr
Columbia, KY 42728-1380
Phone (270) 864-1625
333 S 3Rd St
Danville, KY 40422-2016
Phone (859) 236-7712
360 Keen St
Burkesville, KY 42717-7915
Phone (270) 864-2889
404 Steve Dr
Russell Springs, KY 42642-4622
Phone (270) 866-3161
PO Box
Suite 1080
Burkesville, KY 42717
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 | |
| Serenity Counseling Services LLC | Current | Accepting new patients | |
| Teina Thrasher, Aprn, Pmhnp-BC, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Cumberland Family Medical Center Inc | Past | Accepting new patients |
Locations
360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472
112 Office Park Dr
Columbia, KY 42728
Phone (270) 634-4324
89 C Michael Davenport Blvd
Ste 2
Frankfort, KY 40601
Phone (502) 875-0561
301 Professional Park Dr
Glasgow, KY 42141
Phone (270) 651-5004
512 Saffell St
Lawrenceburg, KY 40342
Phone (502) 839-1231
311 W High St
Lebanon, KY 40033
Phone (270) 593-5811
1025 S Main St
Monticello, KY 42633
Phone (606) 340-8870
633 Main St
Russell Springs, KY 42642
Phone (270) 864-1625
350 Langdon St
Somerset, KY 42503
Phone (606) 678-8155
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Burkesville, KY
- NPI 1306873500
KY
-
- Psychiatric/Mental Health Nurse Practitioner
- Burkesville, KY
- NPI 1063098218
Psychiatric/Mental Health
-
- Federally Qualified Health Center (FQHC)
- Edmonton, KY
- NPI 1548953672
-
- Federally Qualified Health Center (FQHC)
- Frankfort, KY
- NPI 1376115808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1124618665",
"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": "270-858-4029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 S MAIN STREET",
"city": "MONTICELLO",
"state": "KY",
"postal_code": "426332762",
"telephone_number": "606-340-8870",
"fax_number": "606-340-9828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRASHER",
"first_name": "TEINA",
"middle_name": "R",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3015867",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "15096960",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100728700",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.