Individual provider Active NPI

Cagney Anne Meacham, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Elkton, KY
National Provider Identifier
1225429384
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009187 Issued in KY
Practice address
13000 Greenville Rd
Elkton, KY 42220-9625
Phone
(270) 429-1300
Fax
(619) 331-3592
NPI assigned
Feb 11, 2015
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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 3009187 KY Primary

Addresses

Primary practice location

13000 Greenville Rd
Elkton, KY 42220-9625

Mailing address

13000 Greenville Rd
Elkton, KY 42220-9625
Phone (270) 429-1300

Other practice location 1

10755 Eagle Way Ste 100
Hopkinsville, KY 42240-8742
Phone (270) 887-0270

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
I20151113002127 KY Practitioner - Nurse Practitioner 5799095139 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3009187KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Nov 12, 2024 Accepting new patients

Locations

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 1

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": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1225429384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 GREENVILLE RD",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "422209625",
            "telephone_number": "270-429-1300",
            "fax_number": "619-331-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 GREENVILLE RD",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "422209625",
            "telephone_number": "270-429-1300",
            "fax_number": "619-331-3592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10755 Eagle Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422408742",
            "country_code": "US",
            "telephone_number": "270-887-0270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEACHAM",
        "first_name": "CAGNEY",
        "middle_name": "ANNE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, KY

Sources for this page

Verify at the official NPI Registry.