Active NPI
Kimberly Dawn Pruitt, APRN
- Nurse Practitioner
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3008160
- Practice address
- 211 Fountain CT Ste 210
Lexington, KY 40509-2696 - Phone
- (859) 629-7145
- Fax
- (859) 629-7149
- NPI assigned
- Jul 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3008160 | KY | |
| Nurse Practitioner | 363L00000X | 3008160 | KY | Primary |
Addresses
Primary practice location
211 Fountain CT Ste 210
Lexington, KY 40509-2696
Mailing address
PO Box 936
London, KY 40743-0936
Other practice location 1
740 S Limestone
Ste L304
Lexington, KY 40536
Phone (859) 323-6494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100254950 | Medicaid | KY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 Fountain CT
Suite 210
Lexington, KY 40509-2696
Phone (859) 629-7280
Hospital & facility affiliations
- Saint Joseph East
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3008160 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentuckyone Health Medical Group, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Neurosurgical Associates PSC | Current | Accepting new patients | |
| Baptist Physicians Lexington, Inc | Nurse Practitioner | Past | Accepting new patients |
| Baptist Physicians Lexington, Inc | Nurse Practitioner | Past | Accepting new patients |
Locations
305 Estill St
Berea, KY 40403
Phone (859) 986-1415
1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100
160 N Eagle Creek Dr
Ste 420
Lexington, KY 40509
Phone (502) 305-7614
211 Fountain Ct
Ste 210
Lexington, KY 40509
Phone (859) 629-7265
1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744
100 E Liberty St
Ste 800
Louisville, KY 40202
Phone (502) 540-3339
1850 Bypass Rd
Winchester, KY 40391
Phone (859) 744-5111
Interoperability endpoints
- kimberlypruitt@kysjhspe.allscriptsdirect.net
- kpruitt274975@direct.stlukeshealth.org
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.
-
- Family Medicine Physician
- Lexington, KY
- NPI 1104875970
Nurse Practitioner
-
- Neurological Surgery Physician
- Lexington, KY
- NPI 1235110925
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Lexington, KY
- NPI 1043403082
Nurse Practitioner
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Lexington, KY
- NPI 1043583115
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1447457775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1174964969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "LONDON",
"state": "KY",
"postal_code": "407430936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 FOUNTAIN CT STE 210",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092696",
"telephone_number": "859-629-7145",
"fax_number": "859-629-7149"
}
],
"practiceLocations": [
{
"address_1": "740 S Limestone",
"address_2": "Ste L304",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "40536",
"country_code": "US",
"telephone_number": "859-323-6494",
"fax_number": "859-257-2573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRUITT",
"first_name": "KIMBERLY",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-09",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3008160",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3008160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100254950",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.