Individual provider Active NPI

Edith L Roberts, APRN

  • Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1194045104
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3006448 Issued in KY
Practice address
1419 Cumberland Falls Hwy
Corbin, KY 40701-2722
Phone
(606) 526-9005
Fax
(606) 528-6531
NPI assigned
Jun 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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 6448P KY
Nurse Practitioner 363L00000X 3006448 KY Primary

Addresses

Primary practice location

1419 Cumberland Falls Hwy
Corbin, KY 40701-2722

Mailing address

1419 Cumberland Falls Hwy
Corbin, KY 40701-2722
Phone (606) 526-9005

Other identifiers 1

IdentifierTypeStateIssuer
7100119120MedicaidKY

Other names 1

  • Edith L Hensley Former name

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
I20101008001246 KY Practitioner - Nurse Practitioner 4880886712 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Community Health Center, Inc.Group PAC ID 3870654064, 65 clinicians

Practice addresses (Care Compare)

14662 N US Hwy 25 E
Corbin, KY 40701-6425
Phone (606) 526-9005

313 S Cherry St
Pineville, KY 40977-1724
Phone (606) 654-3338

85 Hwy 80
Manchester, KY 40962-8801
Phone (606) 596-0410

934 S Laurel Rd
Suite 1
London, KY 40744-8303
Phone (606) 526-8604

Hospital & facility affiliations

  • Professional Home Health Care, Inc Home health agency, London, KY, CCN 187146
  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080
  • AdventHealthManchester Hospital, Manchester, KY, CCN 180043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3006448KYMDNurse Practitioner
6448PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Community Health Center, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Appalachian Regional Healthcare, Inc Family CurrentSince Jul 1, 2017 Accepting new patients
Appalachian Regional Healthcare, Inc. Current Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jul 1, 2017 Accepting new patients
Grace Community Health Center Inc Nurse Practitioner CurrentSince Oct 1, 2021 Accepting new patients
Grace Community Health Center, Inc. Nurse Practitioner Current Accepting new patients
Floyd Emergency Group, LLC Nurse Practitioner CurrentSince Mar 13, 2017 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Jan 16, 2014 Accepting new patients
BC Medical LLC Nurse Practitioner CurrentSince Feb 9, 2015 Accepting new patients
Appalachian Regional Healthcare, Inc. Nurse Practitioner Past Accepting new patients
Physicians Express Care Billing Past Accepting new patients
Appalachian Regional Healthcare, Inc Nurse Practitioner Past Accepting new patients

Locations

1019 Cumberland Falls Hwy
Ste B201
Corbin, KY 40701

1019 Cumberland Falls Hwy
Ste D141
Corbin, KY 40701
Phone (606) 528-5527

1419 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 528-4481

14662 N US Highway 25 E
Corbin, KY 40701
Phone (606) 526-9005

39 Cumberland Gap Plz
Gray, KY 40734
Phone (606) 526-9005

21154 Highway 421
Ste 1
Hyden, KY 41749

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

934 S Laurel Rd
Ste 1
London, KY 40744
Phone (606) 526-8604

1675 S Main St
London, KY 40741
Phone (606) 878-5474

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

272 London Mountain View Dr
London, KY 40741
Phone (606) 231-2614

85 Highway 80
Manchester, KY 40962
Phone (606) 596-0410

313 S Cherry St
Pineville, KY 40977
Phone (606) 654-3338

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

49 W Sycamore St
Williamsburg, KY 40769
Phone (606) 400-6362

Interoperability endpoints

  • Direct secure messaging: eroberts704514@direct.ochin.org

Organizations & group practices 12

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 3

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": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1194045104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012722",
            "telephone_number": "606-526-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012722",
            "telephone_number": "606-526-9005",
            "fax_number": "606-528-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "EDITH",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6448P",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100119120",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITH",
            "last_name": "HENSLEY",
            "middle_name": "L",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.