Active NPI
Miranda Tompkins
- Family Nurse Practitioner
- Albany, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3010187
- Practice address
- 169 Middle School Rd
Albany, KY 42602-7931 - Phone
- (844) 435-0900
- Fax
- (606) 858-4607
- NPI assigned
- Mar 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 3010187 | KY | Primary |
Addresses
Primary practice location
169 Middle School Rd
Albany, KY 42602-7931
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 864-1472
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100403030 | Medicaid | KY | |
| 3010187 | Other | KY | LICENSE NUMBER |
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
166 Hospital St
Monticello, KY 42633-2416
Hospital & facility affiliations
- Wayne County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Kentucky, PLLC | Current | Accepting new patients | |
| Wayne County Hospital, Inc | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Family | Current | Accepting new patients |
| Cumberland Family Medical Center Inc | Current | Accepting new patients | |
| Wayne County Hospital, Inc | Family | Current | Accepting new patients |
| Cumberland Family Medical Center Inc | Current | Accepting new patients | |
| Cumberland Family Medical Center Inc | Past | Accepting new patients |
Locations
65 High School Dr
Albany, KY 42602
819 3rd St
Albany, KY 42602
Phone (606) 387-5828
169 Middle School Rd
Albany, KY 42602
Phone (606) 387-6466
204 King Dr
Albany, KY 42602
Phone (606) 387-4283
360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472
908 N Main St
Burkesville, KY 42717
Phone (270) 864-5818
912 N Main St
Burkesville, KY 42717
Phone (270) 864-3451
150 Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-1262
1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111
166 Hospital St
Monticello, KY 42633
Phone (606) 340-3251
Interoperability endpoints
- miranda.tompkins.1@16416.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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Burkesville, KY
- NPI 1306873500
-
- Family Nurse Practitioner
- Franklin, KY
- NPI 1457716706
-
- Federally Qualified Health Center (FQHC)
- Edmonton, KY
- NPI 1548953672
-
- Medicare Defined Swing Bed Hospital Unit
- Monticello, KY
- NPI 1992744536
-
- Rural Health Clinic/Center
- Spindale, NC
- NPI 1942027891
-
- Federally Qualified Health Center (FQHC)
- Danville, KY
- NPI 1215918917
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Monticello, KY
- NPI 1871548016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1295196137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1080",
"city": "BURKESVILLE",
"state": "KY",
"postal_code": "427171080",
"telephone_number": "270-864-1472",
"fax_number": "270-858-4607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 MIDDLE SCHOOL RD",
"city": "ALBANY",
"state": "KY",
"postal_code": "426027931",
"telephone_number": "844-435-0900",
"fax_number": "606-858-4607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMPKINS",
"first_name": "MIRANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-18",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3010187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100403030",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "3010187",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, KY
- Tammy L. Brown, M.D., P.S.C.
- Thomas Alvis Thacker, DO
- The Medical Center at Clinton County, Inc.
- The Medical Center at Clinton County, Inc.
- Michael George Theele, CRNA
- Twin Lakes MRI,LLC
- Gary Walter Upchurch, OD
- Vision Care of Albany Inc.
- Keylee Stalcup Watson, PT, DPT
- Shannon Shelton Whittenburg, M.A., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.