Individual provider Active NPI

Kristin Farnsley

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1215304167
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009522 Issued in KY
Practice address
3903 Vantage PL
Louisville, KY 40299-6801
Phone
(502) 356-4377
Fax
(888) 959-2460
NPI assigned
Aug 26, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009522 KY Primary

Addresses

Primary practice location

3903 Vantage PL
Louisville, KY 40299-6801

Mailing address

3903 Vantage PL
Louisville, KY 40299-6801
Phone (502) 356-4377

Other practice location 1

1800 Bluegrass Ave
Louisville, KY 40215-1130
Phone (502) 361-2301

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidKY

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
I20150929002109 KY Practitioner - Nurse Practitioner 9638487309 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009522KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychmind Counseling and Psychiatry LLC CurrentSince Jul 19, 2024 Accepting new patients
Kentucky Counseling Center, LLC CurrentSince Jul 5, 2019 Accepting new patients

Locations

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526

120 N 2nd St
Richmond, KY 40475

950 Red House Rd
Richmond, KY 40475
Phone (859) 328-2473

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215304167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 VANTAGE PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996801",
            "telephone_number": "502-356-4377",
            "fax_number": "888-959-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 VANTAGE PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996801",
            "telephone_number": "502-356-4377",
            "fax_number": "888-959-2460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Bluegrass Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402151130",
            "country_code": "US",
            "telephone_number": "502-361-2301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARNSLEY",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.