Individual provider Active NPI

Sondra Jane Noble, APRN

  • Family Nurse Practitioner
  • Irvine, KY
National Provider Identifier
1245890862
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013470 Issued in KY
Practice address
1100 Richmond Rd
Irvine, KY 40336-7231
Phone
(606) 726-9410
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 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 3013470 KY Primary

Addresses

Primary practice location

1100 Richmond Rd
Irvine, KY 40336-7231

Mailing address

580 Marie Roberts Rd
Lost Creek, KY 41348-9010
Phone (859) 940-6226

Other practice location 1

2000 Harrodsburg Rd
Lexington, KY 40503-1703
Phone (859) 276-5495

Other identifiers 1

IdentifierTypeStateIssuer
3013470OtherKYAPRN LICENSE NUMBER

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
I20200113001942 KY Practitioner - Nurse Practitioner 1557796968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as group
Quality
83.59
Improvement activities
40
Cost
90.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Kentucky LLC Family CurrentSince Jan 27, 2022 Accepting new patients
Southern Medical Partners, LLC Nurse Practitioner CurrentSince Apr 27, 2022 Accepting new patients

Locations

101 W Showalter Dr
Georgetown, KY 40324
Phone (502) 868-6101

277 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 435-0888

2000 Harrodsburg Rd
Lexington, KY 40503
Phone (859) 276-5493

2311 Lime Kiln Ln
Louisville, KY 40222
Phone (502) 291-0749

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1245890862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 MARIE ROBERTS RD",
            "city": "LOST CREEK",
            "state": "KY",
            "postal_code": "413489010",
            "telephone_number": "859-940-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 RICHMOND RD",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403367231",
            "telephone_number": "606-726-9410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Harrodsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031703",
            "country_code": "US",
            "telephone_number": "859-276-5495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "SONDRA",
        "middle_name": "JANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE NUMBER",
            "identifier": "3013470",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, KY

Sources for this page

Verify at the official NPI Registry.