Active NPI
Brooke Padgett
- Family Nurse Practitioner
- Radcliff, KY
National Provider Identifier
1245888494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3013033
- Practice address
- 100 Veterans Dr
Radcliff, KY 40160-9515 - Phone
- (270) 352-6700
- NPI assigned
- Aug 30, 2019
- Last updated
- Aug 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 | 3013033 | KY | Primary |
Addresses
Primary practice location
100 Veterans Dr
Radcliff, KY 40160-9515
Mailing address
100 Veterans Dr
Radcliff, KY 40160-9515
Phone (270) 352-6700
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191119001918 | KY | Order and Referring Only - Nurse Practitioner | 9931531654 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth of Kentucky | Current | Accepting new patients |
Locations
100 Veterans Dr
Radcliff, KY 40160
Phone (270) 352-6700
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.
-
dba Carl M.Brashear Radcliff Veterans Center
- Skilled Nursing Facility
- Radcliff, KY
- NPI 1043686900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1245888494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 VETERANS DR",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401609515",
"telephone_number": "270-352-6700",
"fax_number": "270-351-5530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 VETERANS DR",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401609515",
"telephone_number": "270-352-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADGETT",
"first_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3013033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Radcliff, KY
- Jawed M Movania, M.D.
- Jenny Mullins, APRN
- Colin Neal
- New North Hardin Health & Rehabilitation Center, LLC (North Hardin Health & Rehabilitation Center)
- Hy K. Nguyen, MD
- Carmen N. Painter, APRN
- Sarah Anne Parrish, MD
- Patient Centered Care of Kentucky LLC
- Abby Suzanne Peak, OTR/L
- Goldwin Wanida Penning
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.