Individual provider Active NPI

Nathana D Hall, APRN NP-C

  • Family Nurse Practitioner
  • Grayson, KY
National Provider Identifier
1265928766
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012447 Issued in KY
Practice address
915 State Highway 1947
Grayson, KY 41143-8803
Phone
(606) 315-3700
Fax
(833) 944-0284
NPI assigned
Jul 8, 2018
Reactivated
Jun 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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 3012447 KY Primary

Addresses

Primary practice location

915 State Highway 1947
Grayson, KY 41143-8803

Mailing address

915 State Highway 1947
Grayson, KY 41143-8803
Phone (606) 315-3700

Other identifiers 2

IdentifierTypeStateIssuer
3012447OtherKYAPRN LICENSE NUMBER KY BON
7100626810MedicaidKY

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
I20200128002343 KY Practitioner - Nurse Practitioner 4385070093 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
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

201 E Main St
Suite 1
Grayson, KY 41143-1303
Phone (606) 475-0014

710 N Carol Malone Boulevard
Grayson, KY 41143-1126
Phone (606) 474-0157

Hospital & facility affiliations

  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Ashland, KY, CCN 187302
  • King'S Daughters' Medical Center HHA Home health agency, Ashland, KY, CCN 187047
  • St Claire Medical Center Home Health Home health agency, Morehead, KY, CCN 187037
  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3012447KYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: nathana.hall.1@21843.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1531008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1265928766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 STATE HIGHWAY 1947",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411438803",
            "telephone_number": "606-315-3700",
            "fax_number": "833-944-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 STATE HIGHWAY 1947",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411438803",
            "telephone_number": "606-315-3700",
            "fax_number": "833-944-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "NATHANA",
        "middle_name": "D",
        "credential": "APRN NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-08",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "deactivation_date": "2020-05-28",
        "reactivation_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE NUMBER KY BON",
            "identifier": "3012447",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100626810",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, KY

Sources for this page

Verify at the official NPI Registry.