Charlotte Leah Adams, APRN-BC, MSN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Bardstown, KY
NPI 1174764385 · NPPES record last updated Apr 2, 2012
Key facts
- NPI
- 1174764385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 5075P (KY)
- Practice address
- 331 S 3Rd St
Bardstown, KY 40004-1032 - Phone
- (502) 348-9206
- Fax
- (502) 348-6485
- NPI assigned
- Mar 18, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Communicare Inc
Practice addresses (Care Compare)
1311 N Dixie Ave
Elizabethtown, KY 42701-2621
Phone (270) 769-1304
Hospital & facility affiliations
- Spring View Hospital
- Baptist Health Hardin
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120604000222 | KY | Practitioner - Nurse Practitioner | 3870757800 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5075P | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Communicare Inc | Current |
Accepting new patients | |
| Communicare Inc | Current |
Accepting new patients | |
| Communicare Inc | Current | Accepting new patients | |
| Communicare Inc | Past | Accepting new patients |
Locations
331 S 3rd St
Bardstown, KY 40004
Phone (502) 348-9206
2025 Bypass Rd
Ste 205
Brandenburg, KY 40108
Phone (270) 422-3971
1311 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 360-0419
107 Cranes Roost Ct
Elizabethtown, KY 42701
Phone (270) 765-2650
519 Workshop Ln
Lebanon, KY 40033
Phone (270) 259-4652
805 Commerce Dr
Leitchfield, KY 42754
Phone (270) 259-4652
324 E Main St
Springfield, KY 40069
Phone (859) 336-7746
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5075P | KY | Yes |
Addresses
Primary practice location
331 S 3Rd St
Bardstown, KY 40004-1032
Mailing address
331 S 3Rd St
Bardstown, KY 40004-1032
Phone (502) 348-9206
Other providers in Bardstown, KY
- Taylor Ackermann-Bourke
- Active Day Ky, Inc.
- Jessica Marie Adams
- Advanced in Motion LLC
- Carmen Anthony Alampi
- Brenda G Alexander
- Algwydon Inc
All providers in Bardstown, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.