Individual provider Active NPI

Kristy Godsey, APRN

  • Family Nurse Practitioner
  • Hazard, KY
National Provider Identifier
1134623259
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012176 Issued in KY
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

Updated by the provider on Mar 22, 2018

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180620003428 KY Practitioner - Nurse Practitioner 4486909173 Reassigns benefits to 3 organizations

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
Kentucky Mountain Health Alliance, Inc.Group PAC ID 8123112687, 20 clinicians

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 Hospital, Hazard, KY, CCN 180029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Mountain Health Alliance, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Quantum Healthcare Associates of Cumberland, Inc CurrentSince Jan 9, 2023 Accepting new patients
Mountain After Hours Clinic PSC CurrentSince Aug 1, 2022 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

  • Direct secure messaging: kristy.godsey.p1@direct.kymha.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIIEDD
  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.