Kayla Sabo, APRN
Individual provider Active NPI Family Nurse Practitioner · Hyden, KY
NPI 1235501487 · NPPES record last updated Oct 25, 2019
Key facts
- NPI
- 1235501487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3009781 (KY)
- Practice address
- 21154 Highway 421 # 1
Hyden, KY 41749-8553 - Phone
- (606) 672-1208
- NPI assigned
- Oct 28, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grace Community Health Center, Inc.
Practice addresses (Care Compare)
21154 Hwy 421
Hyden, KY 41749-8553
Phone (606) 672-1208
313 S Cherry St
Pineville, KY 40977-1724
Phone (606) 654-3338
Hospital & facility affiliations
- Hazard Arh Regional Medical Center
- Mary Breckinridge Arh Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151202001625 | KY | Practitioner - Nurse Practitioner | 2163722851 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Community Health Center, Inc. | Current |
Accepting new patients | |
| Grace Community Health Center, Inc. | Current |
Accepting new patients |
Locations
1019 Cumberland Falls Hwy
Ste B201
Corbin, KY 40701
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
#1
Hyden, KY 41749
Phone (606) 672-1208
21154 Highway 421
Ste 1
Hyden, KY 41749
272 London Mountain View Dr
London, KY 40741
Phone (606) 231-2614
85 Highway 80
Manchester, KY 40962
Phone (606) 596-0410
4840 W Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-1293
9824 US Highway 25 E
Pineville, KY 40977
Phone (606) 337-5506
313 S Cherry St
Pineville, KY 40977
Phone (606) 654-3338
9821 US Highway 25 E
Pineville, KY 40977
Phone (606) 337-5032
5296 Highway 221
Stoney Fork, KY 40988
Phone (606) 337-8108
Interoperability endpoints
- ksabo704230@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3009781 | KY | Yes |
Addresses
Primary practice location
21154 Highway 421 # 1
Hyden, KY 41749-8553
Mailing address
2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 871-2400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100385720 | Medicaid | KY |
Other names
- Kayla Wells
Other providers in Hyden, KY
- Pinnacle Health Management, LLC
- Primary Care Centers of Eastern Kentucky, LLC
- Darrell H Risner
- Rmddxusa Corp
- Robert Hoskins, PLLC
- Saint-Clair, LLC
- Scripts, Inc.
- Savannah Grace Sergent
- Nava Raj Sharma
- Eddie Sizemore
All providers in Hyden, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.