Kentucky Family Psychiatry, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KENTUCKY FAMILY PSYCHIATRY, PLLC

Practice address

1374 Highway 192 E Ste 400
London, KY 40741-3123

Phone

(606) 770-5454

Fax

(606) 770-5455

NPI assigned

Feb 20, 2022

Organization subpart

No

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

Authorized official

Name

Angela Cain, APRNNPI 1003251612

Title

Owner/Provider

Phone

(606) 770-5454

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Jo Cain, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • London, KY
  • NPI 1003251612
  Medicare reassignment NPD Authorized official
• Makayla Carr, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • London, KY
  • NPI 1205612017
  NPD
• Emily Marie Hicks, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • London, KY
  • NPI 1952971129
  NPD
• Farid James Asayesh, APRN-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • East Bernstadt, KY
  • NPI 1851096069

  Single Specialty

  NPD (past)
• Kasondra Glynn Lewis, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • London, KY
  • NPI 1285232371
  NPD (past)

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

{
    "created_epoch": "1645315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1154076941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3261",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407433261",
            "telephone_number": "606-770-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 HIGHWAY 192 E STE 400",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413123",
            "telephone_number": "606-770-5454",
            "fax_number": "606-770-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY FAMILY PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-20",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "606-770-5454",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100527870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in London, KY
• Providers in London, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.