Active NPI
Kayla Roach, APRN
- Family Nurse Practitioner
- Manchester, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4014214
- Practice address
- 21 Crestview Dr
Manchester, KY 40962-7012 - Phone
- (606) 594-1769
- NPI assigned
- Jan 2, 2024
- Last updated
- Jan 2, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4014214 | KY | Primary |
Addresses
Primary practice location
21 Crestview Dr
Manchester, KY 40962-7012
Mailing address
65 Hwy 1003
Somerset, KY 42501
Phone (606) 391-9425
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Crestview Dr
Manchester, KY 40962-7012
Phone (606) 594-1769
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice of Kentucky LLC | Family | Current | Accepting new patients |
| Edwards Clinic, PSC | Family | Past | Accepting new patients |
Locations
204 Town Branch Rd
Manchester, KY 40962
Phone (606) 598-7766
21 Crestview Dr
Manchester, KY 40962
Phone (606) 594-1769
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HarmonyCares Health Services
- Family Medicine Physician
- Jackson, MS
- NPI 1093543902
KY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1205606282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 HWY 1003",
"city": "SOMERSET",
"state": "KY",
"postal_code": "42501",
"telephone_number": "606-391-9425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 CRESTVIEW DR",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409627012",
"telephone_number": "606-594-1769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROACH",
"first_name": "KAYLA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-02",
"last_updated": "2024-01-02",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4014214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.