Individual provider Active NPI

Kathryn Marie Ekstrom, M.D.

  • Internal Medicine Physician
  • Henderson, KY
National Provider Identifier
1346493400
Registry record updated Sep 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47919 Issued in KY
Practice address
313 Turner Ave
Henderson, KY 42420-4305
Phone
(270) 342-3836
Fax
(270) 342-3837
NPI assigned
Nov 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 47919 KY
Internal Medicine Physician 207R00000X 47919 KY Primary

Addresses

Primary practice location

313 Turner Ave
Henderson, KY 42420-4305

Mailing address

313 Turner Ave
Henderson, KY 42420-4305
Phone (270) 342-3836

Other identifiers 1

IdentifierTypeStateIssuer
7100345240MedicaidKY

Other names 1

  • Miss Kathryn Marie Piercy 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: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 27, 2026 through May 27, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260609002589 KY Order and Referring Only - Internal MedicinePractitioner - Internal MedicinePractitioner - Pediatric Medicine 4082865399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47919KYMDPediatrics Physician
TP155KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc Pediatrics CurrentSince Feb 27, 2015 Accepting new patients
Deaconess Clinic, Inc Internal Medicine CurrentSince Feb 27, 2015 Accepting new patients

Locations

1300 Merritt Dr
#100
Henderson, KY 42420
Phone (270) 827-0064

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

Interoperability endpoints

  • Direct secure messaging: kekstrom76750@direct.deaconess.com

Organizations & group practices 2

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": "1225584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789776000000",
    "number": "1346493400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 TURNER AVE",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424204305",
            "telephone_number": "270-342-3836",
            "fax_number": "270-342-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 TURNER AVE",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424204305",
            "telephone_number": "270-342-3836",
            "fax_number": "270-342-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKSTROM",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-02",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "47919",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "47919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100345240",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "PIERCY",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.