Kayla Fields

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9042 Issued in KY

Practice address

640 W Highway 92
Williamsburg, KY 40769

Phone

(606) 765-6080

Fax

(606) 549-2855

NPI assigned

Jun 29, 2011

Last updated

Mar 7, 2023By 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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 29)

Interoperability endpoints

• Direct secure messaging: kfields704614@direct.ochin.org

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.

• Grace Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Corbin, KY
  • NPI 1568625648

  General Practice

  Medicare reassignment NPD
• Grace Community Health Center Inc

  dba Falls Hwy Clinic

  • Federally Qualified Health Center (FQHC)
  • Corbin, KY
  • NPI 1508308560
  NPD
• Grace Community Health Center, Inc.

  dba Grace Health

  • Federally Qualified Health Center (FQHC)
  • Corbin, KY
  • NPI 1316645344
  NPD
• Dayspring Health, Inc.

  dba Dayspring Jellico

  • Federally Qualified Health Center (FQHC)
  • Jellico, TN
  • NPI 1023022084
  NPD (past)

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1346537271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 W HIGHWAY 92",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "40769",
            "telephone_number": "606-765-6080",
            "fax_number": "606-549-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W HIGHWAY 92",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "40769",
            "telephone_number": "606-765-6080",
            "fax_number": "606-549-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "KAYLA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2023-03-07",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Nicole Ellison, LMT, LAT, ATC
• Teresa Ruth Ellison, LMT
• Jennifer Marie Emery, NURSE PRACTITIONER
• Family Health Care Associates 9
• Family Health Care Associates of Williamsburg
• Shala Foley
• Cynthia Eileen Fults, PTA
• Warren Brooks Gardner, PHARM.D.
• Philip Spencer Garner
• Wanda M. Garris, P.T.

• General Practice Dentistry in Williamsburg, KY
• Providers in Williamsburg, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.