City of Dry Ridge Kentucky

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1641 Issued in KY

Legal business name

CITY OF DRY RIDGE KENTUCKY

Doing business as

Dry Ridge Fire Department

Practice address

17 Race St
PO Box 145
Dry Ridge, KY 41035-0145

Phone

(859) 824-9158

Fax

(859) 824-9160

NPI assigned

Jul 1, 2006

Last updated

Oct 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Stave, FIRE FIGHTER PARAMED

Title

EMS Coordinator

Phone

(859) 824-9158

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Dry Ridge Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1174552335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 RACE ST",
            "address_2": "PO BOX 145",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "410350145",
            "telephone_number": "859-824-9158",
            "fax_number": "859-824-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DRY RIDGE KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "STAVE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "859-824-9158",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FIRE FIGHTER PARAMED"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000216660",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2546856",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4718020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH",
            "identifier": "50001700",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2443269000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014599",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55000343",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4582348",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dry Ridge Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dry Ridge Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Burke, LCSW
• Jonathan A Byers, MD
• Shelby Elizabeth Carmichael, DO
• Nissa C Carrier
• Charles Patrick Childers, RPH
• Sky Colston
• Core Health Centers of Dry Ridge LLC
• Jasmine Marie Crozier I
• Jeffrey William Davis
• Amy J Dichiara, MD

• Land Ambulance in Dry Ridge, KY
• Providers in Dry Ridge, KY by specialty
• Land Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.