Individual provider Active NPI

Kati Suzanne Whiteford, FNP-BC

  • Family Nurse Practitioner
  • Hopkinsville, KY
National Provider Identifier
1124889076
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5019449 Issued in NC
Practice address
1721 Canton St
Hopkinsville, KY 42240-1991
Phone
(270) 632-4525
Fax
(270) 632-4526
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5019449 NC Primary
Family Nurse Practitioner 363LF0000X 386388 KY

Addresses

Primary practice location

1721 Canton St
Hopkinsville, KY 42240-1991

Mailing address

1721 Canton St
Hopkinsville, KY 42240-1991
Phone (270) 632-4525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240325002168 NC Practitioner - Nurse Practitioner 8123465275 Reassigns benefits to 1 organization
I20251001001620 KY Practitioner - Nurse Practitioner 8123465275 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maanya LLCGroup PAC ID 5092016824, 9 clinicians

Practice addresses (Care Compare)

116 Main St
Cadiz, KY 42211-9163
Phone (270) 350-4504

Hospital & facility affiliations

  • Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
386388KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maanya LLC CurrentSince Jul 21, 2025 Accepting new patients
Maanya LLC CurrentSince Jul 21, 2025 Accepting new patients
Provider Partners Care Management LP CurrentSince Mar 2, 2026 Accepting new patients
Hometown Healthcare, PC Family CurrentSince Jan 19, 2024 Accepting new patients

Locations

116 Main St
Cadiz, KY 42211
Phone (270) 350-4504

250 Main St
#A
Cadiz, KY 42211
Phone (270) 250-4504

1721 Canton St
Hopkinsville, KY 42240
Phone (270) 632-4525

323 S Jefferson St
Ste C
Princeton, KY 42445
Phone (270) 350-4504

1662 Hwy 64 W
Ste A
Hayesville, NC 28904
Phone (828) 835-9571

163 Hwy 64 W
Ste 4
Hayesville, NC 28904
Phone (828) 835-9571

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26113/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kati.whiteford@931004921544708.direct.elationemr.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1124889076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 CANTON ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401991",
            "telephone_number": "270-632-4525",
            "fax_number": "270-632-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 CANTON ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401991",
            "telephone_number": "270-632-4525",
            "fax_number": "270-632-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEFORD",
        "first_name": "KATI",
        "middle_name": "SUZANNE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019449",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "386388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.