Individual provider Active NPI

Kathy Jo Hamilton, APRN

  • Family Nurse Practitioner
  • Prestonsburg, KY
National Provider Identifier
1225792971
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013304 Issued in KY
Practice address
104 S Front Ave
Prestonsburg, KY 41653-1614
Phone
(606) 886-8572
Fax
(606) 886-4433
NPI assigned
Oct 28, 2021
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 3013304 KY Primary

Addresses

Primary practice location

104 S Front Ave
Prestonsburg, KY 41653-1614

Mailing address

104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572

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
I20211103002355 KY Practitioner - Nurse Practitioner 3072901495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-4346

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Comprehensive Care Center, Inc. CurrentSince Oct 25, 2021 Accepting new patients
Mountain Comprehensive Care Center, Inc. CurrentSince Oct 25, 2021 Accepting new patients
Mountain Comprehensive Care Center, Inc. Current Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients

Locations

129 Fraley Miller Plz
Grayson, KY 41143

300 W Main St
Grayson, KY 41143
Phone (606) 474-0042

29 Cabin Frk
Jenkins, KY 41537

1110 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345

1110 S Mayo Trl
#A
Paintsville, KY 41240
Phone (606) 788-1345

838 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345

838 S Mayo Trl
Ste A
Paintsville, KY 41240

118 River Dr
Pikeville, KY 41501
Phone (606) 432-3143

1330 S Mayo Trl
Ste 201
Pikeville, KY 41501
Phone (606) 432-0123

104 S Front Ave
Prestonsburg, KY 41653
Phone (606) 688-6857

118 S Front Ave
Prestonsburg, KY 41653

540 Parkway Dr
Salyersville, KY 41465

26229 US Highway 119 N
Toler, KY 41514
Phone (606) 237-0020

Organizations & group practices 10

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.

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": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1225792971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FRONT AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531614",
            "telephone_number": "606-886-8572",
            "fax_number": "606-886-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FRONT AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531614",
            "telephone_number": "606-886-8572",
            "fax_number": "606-886-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "KATHY",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.