Individual provider Active NPI

Betty Faye Noble, NP-C

  • Family Nurse Practitioner
  • Jackson, KY
National Provider Identifier
1336794411
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013654 Issued in KY
Practice address
832 Highway 15 N
Jackson, KY 41339-8284
Phone
(606) 666-5142
Fax
(606) 666-4172
NPI assigned
Aug 6, 2019
Last updated
Oct 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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 3013654 KY Primary

Addresses

Primary practice location

832 Highway 15 N
Jackson, KY 41339-8284

Mailing address

8908 Beattyville Rd
Jackson, KY 41339-8432
Phone (606) 568-6290

Other practice location 1

8908 Beattyville Rd
Jackson, KY 41339-8432
Phone (606) 568-6290

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
I20221206001363 KY Practitioner - Nurse Practitioner 9830568385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Clinics of Kentucky LLCGroup PAC ID 2668457094, 15 clinicians

Practice addresses (Care Compare)

1060 Grand Ave
Beattyville, KY 41311-9104
Phone (606) 464-0108

219 Mountain Pkwy Spur Rd
Campton, KY 41301-8988
Phone (606) 668-3120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
United Clinics of Kentucky LLC Current Accepting new patients
United Clinics of Kentucky LLC CurrentSince May 1, 2023 Accepting new patients
United Clinics of Kentucky LLC CurrentSince May 1, 2023 Accepting new patients
United Clinics of Kentucky LLC Past Accepting new patients
United Clinics of Kentucky LLC Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1336794411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8908 BEATTYVILLE RD",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413398432",
            "telephone_number": "606-568-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 HIGHWAY 15 N",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413398284",
            "telephone_number": "606-666-5142",
            "fax_number": "606-666-4172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8908 Beattyville Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "KY",
            "postal_code": "413398432",
            "country_code": "US",
            "telephone_number": "606-568-6290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "BETTY",
        "middle_name": "FAYE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, KY

Sources for this page

Verify at the official NPI Registry.