Individual provider Active NPI

Diana Linda Phelps, APRN

  • Family Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1285220723
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015225 Issued in KY
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

Updated by the provider on Aug 14, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201230002085 KY Practitioner - Nurse Practitioner 2163835604 Reassigns benefits to 4 organizations

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 Hospital, Somerset, KY, CCN 180132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3015225KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Primary & Urgent Care of Williamsburg PLLC CurrentSince Apr 1, 2022 Accepting new patients
Hope Primary & Urgent Care PLLC CurrentSince Mar 17, 2021 Accepting new patients
Brock Medical, LLC CurrentSince Dec 16, 2020 Accepting new patients
Phelps Medical CurrentSince Mar 3, 2021 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Dec 16, 2020 Accepting new patients
FC TN, PLLC Family PastSince Mar 21, 2021 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.