Individual provider Active NPI

Teina R Thrasher, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Monticello, KY
National Provider Identifier
1124618665
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3015867 Issued in KY
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

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
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

IdentifierTypeStateIssuer
15096960OtherCAQH
7100728700MedicaidKY

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
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 Inc 125 clinicians
Serenity Counseling Services LLC 6 clinicians

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

OrganizationSpecialtyStatusNew patients
Cumberland Family Medical Center Inc CurrentSince Apr 26, 2021 Accepting new patients
Cumberland Family Medical Center Inc Current Accepting new patients
Serenity Counseling Services LLC CurrentSince Feb 8, 2024 Accepting new patients
Teina Thrasher, Aprn, Pmhnp-BC, PLLC Psychiatric/Mental Health CurrentSince Mar 21, 2021 Accepting new patients
Cumberland Family Medical Center Inc PastSince Jul 25, 2021 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.

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

Verify at the official NPI Registry.