Kimberly Dawn Phillips, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3008104 Issued in KY

Practice address

512 Saffell St
Lawrenceburg, KY 40342-1253

Phone

(502) 227-2229

Fax

(502) 227-1114

NPI assigned

Jun 30, 2013

Last updated

Jun 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cumberland Family Medical Center IncGroup PAC ID 6305947789, shared by 122 NPIs, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Frankfort Regional Medical Center Hospital, Frankfort, KY, CCN 180127

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cumberland Family Medical Center Inc

  dba Women's Care for the Commonwealth

  • Federally Qualified Health Center (FQHC)
  • Danville, KY
  • NPI 1215918917
  NPD (past)
• Cumberland Family Medical Center Inc

  dba Adair County Elementary Healthy Kids Clinic

  • Federally Qualified Health Center (FQHC)
  • Columbia, KY
  • NPI 1699157461
  NPD (past)
• Cumberland Family Medical Center Inc

  dba Hustonville Elementary Healthy Kids Clinic

  • Federally Qualified Health Center (FQHC)
  • Hustonville, KY
  • NPI 1972034643
  NPD (past)
• Cumberland Family Medical Center, Inc.

  dba Lincoln County High Healthy Kids Clinic

  • Federally Qualified Health Center (FQHC)
  • Stanford, KY
  • NPI 1174054845
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Frankfort Hospital, Inc.

  dba Frankfort Regional Medical Center

  • General Acute Care Hospital
  • Frankfort, KY
  • NPI 1427095488
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1316387764",
    "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": "270-864-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 SAFFELL ST",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403421253",
            "telephone_number": "502-227-2229",
            "fax_number": "502-227-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-30",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100017280",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "700172",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Lee Owens, DO
• Arthur Andrew Pangemanan, D.C.
• Rebecca Lynn Pangemanan, D.C.
• Vikki Lenore Partlow
• Donna Jean Phillips, LMT
• Donald P Piercey, MED
• Raven R Piercey, M. ED.
• Carla Poskas, LCSW
• Recovery Genix LLC
• Sara Reichert, DSW, LCSW

• Family Nurse Practitioner in Lawrenceburg, KY
• Providers in Lawrenceburg, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.