Individual provider Active NPI

Christie Dawn Conn, PA-C

  • Physician Assistant
  • Morehead, KY
National Provider Identifier
1306891023
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA937 Issued in KY
Practice address
2300 Ky 801 North
Morehead, KY 40351
Phone
(606) 548-5550
Fax
(833) 471-4492
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PA937 KY
Physician Assistant 363A00000X PA937 KY Primary

Addresses

Primary practice location

2300 Ky 801 North
Morehead, KY 40351

Mailing address

333 Beacon Hill Rd Ste 201
Morehead, KY 40351-6182
Phone (606) 780-0444

Other names 1

  • Christie Dawn Hampton Former name

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
I20060614000001 KY Practitioner - Physician Assistant 6507878485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis County Primary Care Center, IncGroup PAC ID 1153311774, 86 clinicians

Practice addresses (Care Compare)

211 Ky
Suite 59
Vanceburg, KY 41179-7647
Phone (606) 796-3029

2300 Ky 801
Morehead,, KY 40351-8995
Phone (606) 548-5550

432 16TH St
Ashland, KY 41101-7693
Phone (859) 509-5636

Hospital & facility affiliations

  • St Claire Medical Center Home Health Home health agency, Morehead, KY, CCN 187037
  • St Claire Regional Medical Center Hospital, Morehead, KY, CCN 180018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County Primary Care Center, Inc. CurrentSince Aug 1, 2023 Accepting new patients

Locations

432 16th St
Ashland, KY 41101
Phone (859) 509-5636

2300 KY Highway 801 N
Morehead, KY 40351
Phone (606) 548-5546

211 Ky 59
Vanceburg, KY 41179
Phone (606) 793-3029

Interoperability endpoints

  • Direct secure messaging: christie.conn.1@13661.direct.athenahealth.com

Organizations & group practices 1

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 4

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1306891023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BEACON HILL RD STE 201",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403516182",
            "telephone_number": "606-780-0444",
            "fax_number": "606-784-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 KY 801 NORTH",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "40351",
            "telephone_number": "606-548-5550",
            "fax_number": "833-471-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONN",
        "first_name": "CHRISTIE",
        "middle_name": "DAWN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "PA937",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "HAMPTON",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.