Amber Nagornay, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3009204 Issued in KY

Practice address

1621 Nashville St Ste 106
Russellville, KY 42276-8871

Phone

(270) 946-1372

NPI assigned

Jan 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1275923328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 NASHVILLE ST STE 106",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422768871",
            "telephone_number": "270-946-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 NASHVILLE ST STE 106",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422768871",
            "telephone_number": "270-946-1372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2724 Nashville Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421014000",
            "country_code": "US",
            "telephone_number": "270-781-5111",
            "fax_number": "270-936-6026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGORNAY",
        "first_name": "AMBER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Meacham, CRNA
• Jeffrey Meade, LPCC
• Kristin Mitchell, RN
• Stacey Kay Mock
• Morgan Mudd, M.S. CCC-SLP
• Dana Karen Northern, MD
• Wendy Oliver, PHARMD
• Kari Orosco
• Orthopedics Plus Physical Therapy
• Carol Yvonne Oyenuga, APRN, FNP-C

• Family Nurse Practitioner in Russellville, KY
• Providers in Russellville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.