Kayla Fields
Individual provider Active NPI General Practice Dentistry · Williamsburg, KY
NPI 1346537271 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1346537271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9042 (KY)
- Practice address
- 640 W Highway 92
Williamsburg, KY 40769 - Phone
- (606) 765-6080
- Fax
- (606) 549-2855
- NPI assigned
- Jun 29, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211007002849 | KY | Practitioner - Dentist | 3779885389 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9042 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Community Health Center, Inc. | Current |
Accepting new patients | |
| Grace Community Health Center Inc | Current |
Accepting new patients | |
| Grace Community Health Center, Inc. | General Practice | Current | Accepting new patients |
| Dayspring Health, Inc. | Past | Accepting new patients |
Locations (25 of 29)
210 Wall St
Barbourville, KY 40906
Phone (606) 546-5320
1000 Ky 3439
Barbourville, KY 40906
Phone (606) 546-3496
311 N Main St
Barbourville, KY 40906
Phone (606) 545-5267
60 Ky 3441
Barbourville, KY 40906
Phone (606) 546-4169
100 Panther Way
Barbourville, KY 40906
Phone (606) 546-9253
220 N Allison Ave
Barbourville, KY 40906
Phone (606) 546-6524
3551 5th Street Rd
Corbin, KY 40701
Phone (606) 595-8631
706 S Kentucky Ave
Corbin, KY 40701
Phone (606) 595-0117
366 N Ky 830
Corbin, KY 40701
Phone (606) 523-1814
50 Ed McNeel Dr
Corbin, KY 40701
Phone (606) 523-3619
1901 Snyder St
Corbin, KY 40701
Phone (606) 528-3902
14662 N US Highway 25 E
Corbin, KY 40701
Phone (606) 526-9005
901 S Main St
Corbin, KY 40701
Phone (606) 595-8610
200 W 8th St
Corbin, KY 40701
Phone (606) 523-3619
614 Master St
Corbin, KY 40701
Phone (606) 595-8742
1019 Cumberland Falls Hwy
Ste B201
Corbin, KY 40701
110 Ky 3085
Flat Lick, KY 40935
Phone (606) 542-4169
5452 N Ky 11
Girdler, KY 40943
Phone (606) 546-4859
21154 Highway 421
Ste 1
Hyden, KY 41749
21154 Highway 421
Hyden, KY 41749
Phone (606) 672-1208
85 Highway 80
Manchester, KY 40962
Phone (606) 596-0410
4840 W Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-1293
3400 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 242-8860
4400 W Cumberland Ave
Middlesboro, KY 40965
Phone (606) 242-8880
9821 US Highway 25 E
Pineville, KY 40977
Phone (606) 337-5032
Interoperability endpoints
- kfields704614@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9042 | KY | Yes |
Addresses
Primary practice location
640 W Highway 92
Williamsburg, KY 40769
Mailing address
640 W Highway 92
Williamsburg, KY 40769
Phone (606) 765-6080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9042 | Other | KY | STATE LICENSE |
| 7100191350 | Medicaid | KY |
Other providers in Williamsburg, KY
- Rachel Nicole Ellison
- Teresa Ruth Ellison
- Jennifer Marie Emery
- Family Health Care Associates 9
- Family Health Care Associates of Williamsburg
- Shala Foley
- Cynthia Eileen Fults
- Warren Brooks Gardner
- Philip Spencer Garner
- Wanda M. Garris
All providers in Williamsburg, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.