Individual provider Active NPI

Kristi Jo Grider, FNP-C

  • Nurse Practitioner
  • Versailles, KY
National Provider Identifier
1295317220
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3015772 Issued in KY
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

Updated by the provider on Apr 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210517001911 KY Practitioner - Nurse Practitioner 8224447552 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
Group practices
Lexington Urgent Care PLLCGroup PAC ID 9830344688, 29 clinicians

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

LicenseStateTypeSpecialty
3015772KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Urgent Care PLLC Nurse Practitioner CurrentSince Apr 11, 2021 Accepting new patients
Berea Urgent Care LLC Nurse Practitioner CurrentSince Apr 11, 2021 Accepting new patients
Lexington Urgent Care PLLC Nurse Practitioner CurrentSince Apr 11, 2021 Accepting new patients
Man O War Urgent Care LLC Nurse Practitioner CurrentSince Apr 11, 2021 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.