Active NPI
Kristi Jo Grider, FNP-C
- Nurse Practitioner
- Versailles, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3015772
- Practice address
- 432 Lexington Rd
Versailles, KY 40383-1626 - Phone
- (859) 879-0272
- NPI assigned
- Apr 28, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3015772 | KY | Primary |
Addresses
Primary practice location
432 Lexington Rd
Versailles, KY 40383-1626
Mailing address
916 Lane Cir
Versailles, KY 40383-8691
Phone (859) 229-3566
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
- Group practices
Practice addresses (Care Compare)
1701 Nicholasville Rd
Suite 100
Lexington, KY 40503-1461
Phone (859) 466-8956
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3015772 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Urgent Care PLLC | Nurse Practitioner | Current | Accepting new patients |
| Berea Urgent Care LLC | Nurse Practitioner | Current | Accepting new patients |
| Lexington Urgent Care PLLC | Nurse Practitioner | Current | Accepting new patients |
| Man O War Urgent Care LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
234 Brenwood St
Berea, KY 40403
Phone (859) 985-0302
111 Osborne Way
#101
Georgetown, KY 40324
Phone (859) 466-8956
844 S College St
Harrodsburg, KY 40330
Phone (859) 734-0081
1004 Bypass N
Ste D
Lawrenceburg, KY 40342
Phone (502) 353-4220
1701 Nicholasville Rd
Ste 100
Lexington, KY 40503
Phone (859) 466-8956
4097 Nichols Park Dr
Ste 108
Lexington, KY 40503
Phone (859) 245-2273
1701 Nicholasville Rd
Lexington, KY 40503
Phone (859) 278-9373
3101 Richmond Rd
Ste 202
Lexington, KY 40509
Phone (606) 266-2223
432 Lexington Rd
Versailles, KY 40383
Phone (859) 523-5310
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Lexington, KY
- NPI 1225374887
Nurse Practitioner
-
- Nurse Practitioner
- Berea, KY
- NPI 1912054792
-
- Urgent Care Clinic/Center
- Georgetown, KY
- NPI 1780838847
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1295317220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 LANE CIR",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403838691",
"telephone_number": "859-229-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 LEXINGTON RD",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403831626",
"telephone_number": "859-879-0272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIDER",
"first_name": "KRISTI",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-28",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3015772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Versailles, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.