Individual provider Active NPI

Angela D. Franke, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Edgewood, KY
National Provider Identifier
1366700825
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3007431 Issued in KY
Practice address
20 Medical Village Dr Ste 301
Edgewood, KY 41017-5403
Phone
(859) 341-5014
NPI assigned
May 2, 2012
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 60822933 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3007431 KY Primary

Addresses

Primary practice location

20 Medical Village Dr Ste 301
Edgewood, KY 41017-5403

Mailing address

20 Medical Village Dr Ste 301
Edgewood, KY 41017-5403
Phone (859) 341-5014

Other practice location 1

57 W Main St Ste 260
Chehalis, WA 98532-4815
Phone (360) 795-5955

Other practice location 2

301 Valley Mall Way # 10
Mount Vernon, WA 98273-5462
Phone (360) 416-7013

Other identifiers 1

IdentifierTypeStateIssuer
7100203800MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120605000276 KY Practitioner - Nurse Practitioner 1658535539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

20 N Grand Ave
Suite 15
Ft Thomas, KY 41075-1755
Phone (513) 975-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60822933WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whidbey Island Public Hospital District CurrentSince Dec 1, 2019 Accepting new patients
Psychological & Behavioral Consultants, LLC CurrentSince Dec 1, 2024 Accepting new patients
Great Rivers Behavioral Health Organization Past Accepting new patients

Locations

20 N Grand Ave
Ste 15
Fort Thomas, KY 41075
Phone (513) 975-4673

100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 552-5068

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.angelafranke@140097.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1366700825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEDICAL VILLAGE DR STE 301",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410175403",
            "telephone_number": "859-341-5014",
            "fax_number": "859-341-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL VILLAGE DR STE 301",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410175403",
            "telephone_number": "859-341-5014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 W Main St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Chehalis",
            "state": "WA",
            "postal_code": "985324815",
            "country_code": "US",
            "telephone_number": "360-795-5955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Valley Mall Way # 10",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982735462",
            "country_code": "US",
            "telephone_number": "360-416-7013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANKE",
        "first_name": "ANGELA",
        "middle_name": "D.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "60822933",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3007431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100203800",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.