Individual provider Active NPI

Kimberly Dawn Pruitt, APRN

  • Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1174964969
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3008160 Issued in KY
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

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100254950MedicaidKY

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
I20131028001614 KY Practitioner - Nurse Practitioner 3476788423 Reassigns benefits to 1 organization

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
Kentuckyone Health Medical Group IncGroup PAC ID 8820993702, 260 clinicians

Practice addresses (Care Compare)

211 Fountain CT
Suite 210
Lexington, KY 40509-2696
Phone (859) 629-7280

Hospital & facility affiliations

  • Saint Joseph East Hospital, Lexington, KY, CCN 180143

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3008160KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Nurse Practitioner CurrentSince Jan 11, 2017 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

  • Direct secure messaging: kimberlypruitt@kysjhspe.allscriptsdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.