Individual provider Active NPI

Taffany Norton Amburgey, APRN

  • Family Nurse Practitioner
  • Paris, KY
National Provider Identifier
1265998280
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012750 Issued in KY
Practice address
22 Clinic Dr
Paris, KY 40361-2161
Phone
(859) 987-0074
NPI assigned
Feb 14, 2019
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 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 3012750 KY Primary

Addresses

Primary practice location

22 Clinic Dr
Paris, KY 40361-2161

Mailing address

22 Clinic Dr
Paris, KY 40361-2161

Other practice location 1

101 W Showalter Dr
Georgetown, KY 40324-2081
Phone (502) 868-6101

Other identifiers 1

IdentifierTypeStateIssuer
710062054MedicaidKY

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
I20190325002143 KY Practitioner - Nurse Practitioner 6901146125 Reassigns benefits to 2 organizations

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
Bourbon Physician Practice LLCGroup PAC ID 8729226097, 11 clinicians

Practice addresses (Care Compare)

22 Clinic Dr
Paris, KY 40361-2161
Phone (859) 987-0074

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bourbon Physician Practice LLC Single Specialty CurrentSince Apr 1, 2019 Accepting new patients
Minuteclinic Diagnostic of Kentucky LLC Single Specialty CurrentSince Oct 9, 2020 Accepting new patients
Clark Regional Physician Practices LLC Single Specialty CurrentSince Mar 18, 2022 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Mar 18, 2022 Accepting new patients
Bourbon Physician Practice LLC CurrentSince Apr 1, 2019 Accepting new patients
Carlisle Clinic, PSC Single Specialty Past Accepting new patients
Bourbon Physician Practice LLC Single Specialty Past Accepting new patients

Locations

1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300

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

2311 Lime Kiln Ln
Louisville, KY 40222
Phone (502) 425-4044

22 Clinic Dr
Paris, KY 40361
Phone (859) 987-0074

225 Hospital Dr
Winchester, KY 40391
Phone (859) 737-8528

225 Hospital Dr
Ste 200A
Winchester, KY 40391
Phone (859) 737-6480

Interoperability endpoints

  • Direct secure messaging: fpo6442@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/19475/brand/10/csg/41/fhir/r4
  • Direct secure messaging: taffany.amburgey.1@19475.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1265998280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CLINIC DR",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403612161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CLINIC DR",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403612161",
            "telephone_number": "859-987-0074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Showalter Dr",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403242081",
            "country_code": "US",
            "telephone_number": "502-868-6101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMBURGEY",
        "first_name": "TAFFANY",
        "middle_name": "NORTON",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710062054",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, KY

Sources for this page

Verify at the official NPI Registry.