Individual provider Active NPI

Gladys Jepkogei Kipsang, NP

  • Family Nurse Practitioner
  • Fort Knox, KY
National Provider Identifier
1346819398
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016080 Issued in KY
Practice address
200 Brule St BLDG 871
Fort Knox, KY 40121-6100
Phone
(502) 626-9641
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3016080 KY Primary
Family Nurse Practitioner 363LF0000X 29521 TN

Addresses

Primary practice location

200 Brule St BLDG 871
Fort Knox, KY 40121-6100

Mailing address

152 S Cedar Ave
Fort Knox, KY 40121-3161
Phone (806) 466-4188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3016080KYMDFamily Nurse Practitioner
29521TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1346819398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 S CEDAR AVE",
            "city": "FORT KNOX",
            "state": "KY",
            "postal_code": "401213161",
            "telephone_number": "806-466-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BRULE ST BLDG 871",
            "city": "FORT KNOX",
            "state": "KY",
            "postal_code": "401216100",
            "telephone_number": "502-626-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPSANG",
        "first_name": "GLADYS",
        "middle_name": "JEPKOGEI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016080",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Knox, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.