NPIMap

Individual provider Active NPI

Laura Kelly Chism, APRN

  • Nurse Practitioner
  • Brandenburg, KY
National Provider Identifier
1366440091
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3002841 Issued in KY
Practice address
1065 Old Ekron Rd
Brandenburg, KY 40108-1735
Phone
(270) 422-2200
Fax
(270) 422-2221
NPI assigned
Jul 7, 2005
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3002841 KY Primary

Addresses

Primary practice location

1065 Old Ekron Rd
Brandenburg, KY 40108-1735

Mailing address

1065 Old Ekron Rd
Brandenburg, KY 40108-1735
Phone (270) 422-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040205000883 KY Practitioner - Nurse Practitioner 8527951284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Family Care PractitionersGroup PAC ID 1456596493, 2 clinicians

Practice addresses (Care Compare)

1065 Old Ekron Rd
Brandenburg, KY 40108-1735
Phone (270) 422-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3002841KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Family Care Practitioners Nurse Practitioner CurrentSince Mar 4, 2013 Accepting new patients
J. Neal Sharpe, M.D. Surgical Wound Specialist, PLLC Nurse Practitioner Past Accepting new patients
McCoy Primary Care LLC PastSince May 29, 2019 Accepting new patients
Sharpcare LLC Nurse Practitioner Past Accepting new patients

Locations

1065 Old Ekron Rd
Brandenburg, KY 40108
Phone (270) 422-2200

Interoperability endpoints

  • Direct secure messaging: laura.white.1@16395.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1366440091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 OLD EKRON RD",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081735",
            "telephone_number": "270-422-2200",
            "fax_number": "270-422-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 OLD EKRON RD",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081735",
            "telephone_number": "270-422-2200",
            "fax_number": "270-422-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISM",
        "first_name": "LAURA",
        "middle_name": "KELLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3002841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandenburg, KY

Sources for this page

Verify at the official NPI Registry.