Active NPI
Diana Linda Phelps, APRN
- Family Nurse Practitioner
- Somerset, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3015225
- Practice address
- 115 Tradepark Dr Ste B
Somerset, KY 42503-3428 - Phone
- (606) 425-4162
- Fax
- (606) 425-4119
- NPI assigned
- Dec 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3015225 | KY | Primary |
Addresses
Primary practice location
115 Tradepark Dr Ste B
Somerset, KY 42503-3428
Mailing address
218 Chestnut Oak Drive
Somerset, KY 42503
Phone (606) 307-3918
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
115 Tradepark Dr
Suite B
Somerset, KY 42503-3428
Phone (606) 425-4162
Hospital & facility affiliations
- Lake Cumberland Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3015225 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Primary & Urgent Care of Williamsburg PLLC | Current | Accepting new patients | |
| Hope Primary & Urgent Care PLLC | Current | Accepting new patients | |
| Brock Medical, LLC | Current | Accepting new patients | |
| Phelps Medical | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Current | Accepting new patients | |
| FC TN, PLLC | Family | Past | Accepting new patients |
Locations
110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409
1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055
115 Tradepark Dr
Ste B
Somerset, KY 42503
Phone (606) 307-3918
2520 S Highway 27
Somerset, KY 42501
Phone (606) 416-5719
2520 S Highway 27
#1
Somerset, KY 42501
Phone (606) 416-5719
2157 S Highway 27
Stearns, KY 42647
Phone (606) 376-9700
896 S Highway 25 W
Williamsburg, KY 40769
Phone (606) 376-9700
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BHHFDD/Endpoint/BHHFDD
Organizations & group practices 6
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.
-
- Primary Care Clinic/Center
- Somerset, KY
- NPI 1295563765
-
- Nurse Practitioner
- London, KY
- NPI 1023379815
-
- Rural Health Clinic/Center
- Williamsburg, KY
- NPI 1851058028
-
- Rural Health Clinic/Center
- Stearns, KY
- NPI 1134606403
-
- Rural Health Clinic/Center
- Corbin, KY
- NPI 1669256913
-
- Family Nurse Practitioner
- Nashville, TN
- NPI 1457936858
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Somerset, KY
- NPI 1619038247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1285220723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 CHESTNUT OAK DRIVE",
"city": "SOMERSET",
"state": "KY",
"postal_code": "42503",
"telephone_number": "606-307-3918",
"fax_number": "606-425-4119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 TRADEPARK DR STE B",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425033428",
"telephone_number": "606-425-4162",
"fax_number": "606-425-4119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "DIANA",
"middle_name": "LINDA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-18",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3015225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.