Individual provider Active NPI

Miranda Tompkins

  • Family Nurse Practitioner
  • Albany, KY
National Provider Identifier
1295196137
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010187 Issued in KY
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

Updated by the provider on Jun 15, 2021

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 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

IdentifierTypeStateIssuer
7100403030MedicaidKY
3010187OtherKYLICENSE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160803001261 KY Practitioner - Nurse Practitioner 2264726975 Reassigns benefits to 3 organizations

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
Wayne County Hospital IncGroup PAC ID 7113814740, 15 clinicians

Practice addresses (Care Compare)

166 Hospital St
Monticello, KY 42633-2416

Hospital & facility affiliations

  • Wayne County Hospital Hospital, Monticello, KY, CCN 181321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky, PLLC CurrentSince Sep 26, 2016 Accepting new patients
Wayne County Hospital, Inc CurrentSince Apr 2, 2019 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Sep 26, 2016 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Nov 12, 2020 Accepting new patients
Wayne County Hospital, Inc Family CurrentSince Apr 2, 2019 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Nov 12, 2020 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

  • Direct secure messaging: 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.

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": "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

Sources for this page

Verify at the official NPI Registry.