Individual provider Active NPI

Kimberly H Sowden, ARNP

  • Nurse Practitioner
  • Richmond, KY
National Provider Identifier
1376686105
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3005140 Issued in KY
Practice address
2161 Lexington Rd
1St Floor Suite 5
Richmond, KY 40475-7952
Phone
(859) 626-7794
Fax
(859) 626-4420
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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 3005140 KY Primary

Addresses

Primary practice location

2161 Lexington Rd
1St Floor Suite 5
Richmond, KY 40475-7952

Mailing address

2161 Lexington Rd
1St Floor, Suite 5
Richmond, KY 40475-7952
Phone (859) 626-7794

Other identifiers 4

IdentifierTypeStateIssuer
35001775MedicaidKY
1234437OtherKYCHA
710007430MedicaidKY
000000517138OtherKYBLUE CROSS AND BLUE SHIELD

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
I20070711000067 KY Practitioner - Nurse Practitioner 5092815704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rose Bowling, LLCGroup PAC ID 5698749216, 5 clinicians

Practice addresses (Care Compare)

2161 Lexington Rd
Suite 5
Richmond, KY 40475-7952
Phone (859) 626-7794

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3005140KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Bowling, LLC CurrentSince Aug 17, 2009 Accepting new patients
Lexington Primary Care LLC Nurse Practitioner PastSince Jan 5, 2004 Accepting new patients
Strauss Family Practice, LLC Past Accepting new patients

Locations

2628 Wilhite Ct
Lexington, KY 40503
Phone (859) 278-0096

9850 Von Allmen Ct
Ste 201
Louisville, KY 40241
Phone (480) 269-9248

2161 Lexington Rd
Ste 5
Richmond, KY 40475
Phone (859) 626-7794

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1376686105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 LEXINGTON RD",
            "address_2": "1ST FLOOR, SUITE 5",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757952",
            "telephone_number": "859-626-7794",
            "fax_number": "859-626-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 LEXINGTON RD",
            "address_2": "1ST FLOOR SUITE 5",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757952",
            "telephone_number": "859-626-7794",
            "fax_number": "859-626-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWDEN",
        "first_name": "KIMBERLY",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3005140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35001775",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1234437",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710007430",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "000000517138",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.