Individual provider Active NPI

Kayla Renae Combs, NP-C

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1124684212
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01190299 Issued in KY
Practice address
3832 Taylorsville Rd Unit 8-10
Louisville, KY 40220-1369
Phone
(502) 649-6219
NPI assigned
May 14, 2019
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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 F01190299 KY Primary

Addresses

Primary practice location

3832 Taylorsville Rd Unit 8-10
Louisville, KY 40220-1369

Mailing address

449 Pine Ridge LN
Hardinsburg, KY 40143-6647
Phone (502) 649-6219

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
I20190830002731 KY Practitioner - Nurse Practitioner 2264761170 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F01190299KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Group LLC CurrentSince Oct 20, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 15, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 15, 2019 Accepting new patients

Locations

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1124684212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 PINE RIDGE LN",
            "city": "HARDINSBURG",
            "state": "KY",
            "postal_code": "401436647",
            "telephone_number": "502-649-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3832 TAYLORSVILLE RD UNIT 8-10",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201369",
            "telephone_number": "502-649-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "KAYLA",
        "middle_name": "RENAE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2022-02-09",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "F01190299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.