Individual provider Active NPI

Kristy M Nunn

  • Optician
  • Campbellsville, KY
National Provider Identifier
1265162481
Registry record updated Jun 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
110489 Issued in KY
Practice address
725 Campbellsville Byp
Campbellsville, KY 42718-8846
Phone
(270) 789-0584
Fax
(270) 789-0643
NPI assigned
Jun 11, 2022
Last updated
Jun 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 110489 KY Primary

Addresses

Primary practice location

725 Campbellsville Byp
Campbellsville, KY 42718-8846

Mailing address

725 Campbellsville Byp
Campbellsville, KY 42718-8846
Phone (270) 789-0584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110489KYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1265162481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CAMPBELLSVILLE BYP",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188846",
            "telephone_number": "270-789-0584",
            "fax_number": "270-789-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CAMPBELLSVILLE BYP",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188846",
            "telephone_number": "270-789-0584",
            "fax_number": "270-789-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNN",
        "first_name": "KRISTY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "110489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.