Active NPI
Kristy Godsey, APRN
- Family Nurse Practitioner
- Hazard, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3012176
- Practice address
- 210 Black Gold Blvd Ste 106
Hazard, KY 41701-2620 - Phone
- (606) 436-0711
- Fax
- (606) 435-1322
- NPI assigned
- Mar 22, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012176 | KY | Primary |
Addresses
Primary practice location
210 Black Gold Blvd Ste 106
Hazard, KY 41701-2620
Mailing address
PO Box 959
Hazard, KY 41702-0959
Phone (606) 436-0711
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Black Gold Blvd
Suite 106
Hazard, KY 41701-2620
Phone (606) 436-0711
Hospital & facility affiliations
- Hazard Arh Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Mountain Health Alliance, Inc. | Current | Accepting new patients | |
| Quantum Healthcare Associates of Cumberland, Inc | Current | Accepting new patients | |
| Mountain After Hours Clinic PSC | Current | Accepting new patients |
Locations
103 Kingdom Come Dr
Cumberland, KY 40823
Phone (606) 589-5514
279 E Main St
Hazard, KY 41701
Phone (606) 487-9505
1908 N Main St
Ste 120
Hazard, KY 41701
210 Black Gold Blvd
Ste 106
Hazard, KY 41701
Phone (606) 436-0711
Interoperability endpoints
- kristy.godsey.p1@direct.kymha.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/GIIEDD
- https://fhir4.healow.com/fhir/r4/AIEDDD
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.
-
- Federally Qualified Health Center (FQHC)
- Hazard, KY
- NPI 1407043979
-
- Rural Health Clinic/Center
- Hazard, KY
- NPI 1477638880
-
- Rural Health Clinic/Center
- Cumberland, KY
- NPI 1255603619
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Multi-Specialty Clinic/Center
- Hazard, KY
- NPI 1558431346
Hospital
-
- General Acute Care Hospital
- Hazard, KY
- NPI 1609869916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1134623259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 959",
"city": "HAZARD",
"state": "KY",
"postal_code": "417020959",
"telephone_number": "606-436-0711",
"fax_number": "606-435-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 BLACK GOLD BLVD STE 106",
"city": "HAZARD",
"state": "KY",
"postal_code": "417012620",
"telephone_number": "606-436-0711",
"fax_number": "606-435-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODSEY",
"first_name": "KRISTY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-22",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3012176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.