Individual provider Active NPI

Kristi Hall, APRN

  • Family Nurse Practitioner
  • Pikeville, KY
National Provider Identifier
1134520901
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008828 Issued in KY
Practice address
484 Tollage CRK
Pikeville, KY 41501-3305
Phone
(606) 230-2255
Fax
(606) 437-3001
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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 3008828 KY Primary

Addresses

Primary practice location

484 Tollage CRK
Pikeville, KY 41501-3305

Mailing address

PO Box 54
Wayland, KY 41666-0054
Phone (606) 531-4040

Other practice location 1

2643 King Kelly Coleman Hwy
Wayland, KY 41666
Phone (606) 230-2255

Other identifiers 3

IdentifierTypeStateIssuer
1134520901MedicaidVA
1134520901MedicaidWV
7100318780MedicaidKY

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
I20141017001355 KY Practitioner - Nurse Practitioner 3577784487 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Pediatrics of Wayland Current Accepting new patients
Quantum Healthcare Associates of Cumberland, Inc CurrentSince Mar 1, 2015 Accepting new patients
Compassion Services Past Accepting new patients

Locations

103 Kingdom Come Dr
Cumberland, KY 40823
Phone (606) 589-5514

210 Black Gold Blvd
Ste 106
Hazard, KY 41701
Phone (606) 436-0711

484 Tollage Crk
Pikeville, KY 41501
Phone (606) 230-2255

2643 King Kelly Coleman Hwy
Wayland, KY 41666
Phone (606) 230-2255

Interoperability endpoints

  • Direct secure messaging: kristi.hall.1@19494.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIIEDD
  • Direct secure messaging: kristi.hall.2@19494.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1134520901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "WAYLAND",
            "state": "KY",
            "postal_code": "416660054",
            "telephone_number": "606-531-4040",
            "fax_number": "606-284-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 TOLLAGE CRK",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013305",
            "telephone_number": "606-230-2255",
            "fax_number": "606-437-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2643 King Kelly Coleman Hwy",
            "address_purpose": "LOCATION",
            "city": "Wayland",
            "state": "KY",
            "postal_code": "41666",
            "country_code": "US",
            "telephone_number": "606-230-2255",
            "fax_number": "606-437-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "KRISTI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134520901",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134520901",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100318780",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.