Individual provider Active NPI

Cessinee Nicole Thornton, APRN

  • Family Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1174097794
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012946 Issued in KY
Practice address
67 Lakeview Dr
Paducah, KY 42001-5619
Phone
(270) 554-8373
Fax
(270) 554-8987
NPI assigned
Jan 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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 3012946 KY Primary

Addresses

Primary practice location

67 Lakeview Dr
Paducah, KY 42001-5619

Mailing address

67 Lakeview Dr
Paducah, KY 42001-5619
Phone (270) 554-8373

Other practice location 1

225 Medical Center Dr Ste 308
Paducah, KY 42003-7915
Phone (270) 443-0777

Other identifiers 1

IdentifierTypeStateIssuer
3012946OtherKYAPRN NUMBER

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
I20190408002090 KY Practitioner - Nurse Practitioner 5193066744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Kentucky Specialty Care LLCGroup PAC ID 1456777069, 144 clinicians

Practice addresses (Care Compare)

225 Medical Ctr Dr
Suite 308
Paducah, KY 42003-7915
Phone (270) 443-0777

Hospital & facility affiliations

  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3012946KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Nov 20, 2022 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Nov 20, 2022 Accepting new patients
Mercy Health Physicians Kentucky LLC Past Accepting new patients

Locations

225 Medical Center Dr
Ste 308
Paducah, KY 42003
Phone (270) 441-4750

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

Organizations & group practices 4

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": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1174097794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 LAKEVIEW DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420015619",
            "telephone_number": "270-554-8373",
            "fax_number": "270-554-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 LAKEVIEW DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420015619",
            "telephone_number": "270-554-8373",
            "fax_number": "270-554-8987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Medical Center Dr Ste 308",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420037915",
            "country_code": "US",
            "telephone_number": "270-443-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "CESSINEE",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN NUMBER",
            "identifier": "3012946",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.