Organization Active NPI

Richmond Family Medicine Associates

  • Family Medicine Physician
  • Richmond, KY
National Provider Identifier
1366929952
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RICHMOND FAMILY MEDICINE ASSOCIATES
Practice address
312 Jason Dr Ste 9
Richmond, KY 40475-2785
Phone
(859) 224-8835
NPI assigned
Jul 26, 2018
Last updated
Mar 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Dr. Kasey Michelle Eidson, MDNPI 1437312311
Title
Physcian
Phone
(859) 575-4075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

312 Jason Dr Ste 9
Richmond, KY 40475-2785

Mailing address

312 Jason Dr Ste 9
Richmond, KY 40475-2785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180919002692 KY Part B Supplier - Clinic/Group Practice 8628329349 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2155814Richmond Family Medicine Associates312 Jason Drive, Suite 9, Richmond, KY 40475Certificate of waiverOct 4, 2026

National Provider Directory

National Provider Directory

Locations

312 Jason Dr
Ste 9
Richmond, KY 40475
Phone (859) 575-4075

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1366929952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 JASON DR STE 9",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 JASON DR STE 9",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752785",
            "telephone_number": "859-224-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND FAMILY MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "EIDSON",
        "authorized_official_first_name": "KASEY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "859-575-4075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.