Individual provider Active NPI

Victoria Elaine Cammack, APRN

  • Family Nurse Practitioner
  • Frankfort, KY
National Provider Identifier
1376224246
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4004858 Issued in KY
Practice address
110 Diagnostic Dr Ste B
Frankfort, KY 40601-6557
Phone
(502) 227-3383
Fax
(502) 227-3383
NPI assigned
Jul 25, 2023
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4004858 KY Primary

Addresses

Primary practice location

110 Diagnostic Dr Ste B
Frankfort, KY 40601-6557

Mailing address

520 Techwood Dr N Ste 100
Danville, KY 40422-8500
Phone (859) 936-9844

Other practice location 1

95 Bogle Office Park Dr
Somerset, KY 42503-2810
Phone (606) 677-1451

Other practice location 2

520 Techwood Dr N Ste 100
Danville, KY 40422-8500
Phone (859) 936-9844

Other names 1

  • Victoria Elaine Elam Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914003559 KY Practitioner - Nurse Practitioner 4587028154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

217 S 3Rd St
Danville, KY 40422-1823
Phone (859) 239-2318

520 Techwood N Dr
Suite 100
Danville, KY 40422-8500
Phone (859) 936-9844

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Hematology Oncology PSC Family CurrentSince Aug 7, 2023 Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Current Accepting new patients
Ephraim McDowell Regional Medical Center, Incorporated CurrentSince Sep 27, 2023 Accepting new patients
Ephraim McDowell Regional Medical Center, Incorporated CurrentSince Sep 27, 2023 Accepting new patients
Ephraim McDowell Health Resource, Inc. Family PastSince Aug 7, 2023 Accepting new patients

Locations

520 Techwood Dr N
Ste 100
Danville, KY 40422
Phone (859) 236-2203

110 Diagnostic Dr
Ste B
Frankfort, KY 40601
Phone (502) 227-3383

165 London Mountain View Dr
London, KY 40741
Phone (606) 330-7900

165 London Mountain View Dr
#D
London, KY 40741
Phone (606) 330-7900

95 Bogle Office Park Dr
Somerset, KY 42503
Phone (606) 677-1451

5130 Parkway Plaza Blvd
Charlotte, NC 28217

Organizations & group practices 5

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 9

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": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1376224246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 TECHWOOD DR N STE 100",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228500",
            "telephone_number": "859-936-9844",
            "fax_number": "859-236-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DIAGNOSTIC DR STE B",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016557",
            "telephone_number": "502-227-3383",
            "fax_number": "502-227-3383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Bogle Office Park Dr",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425032810",
            "country_code": "US",
            "telephone_number": "606-677-1451",
            "fax_number": "606-678-0814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Techwood Dr N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404228500",
            "country_code": "US",
            "telephone_number": "859-936-9844",
            "fax_number": "859-236-0320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMMACK",
        "first_name": "VICTORIA",
        "middle_name": "ELAINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4004858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "ELAM",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.