Individual provider Active NPI

Kayla Conn, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Prestonsburg, KY
National Provider Identifier
1386534667
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4042386 Issued in KY
Practice address
400 University Dr Ste 211
Prestonsburg, KY 41653-1080
Phone
(606) 886-6622
NPI assigned
Jul 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4042386 KY Primary

Addresses

Primary practice location

400 University Dr Ste 211
Prestonsburg, KY 41653-1080

Mailing address

PO Box 697
Prestonsburg, KY 41653-0697

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
I20250811003653 KY Practitioner - Nurse Practitioner 5799283594 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frontier Medical Associates of Prestonsburg IncGroup PAC ID 8123436219, 17 clinicians
Frontier Medical Associates of Paintsville IncGroup PAC ID 2961820337, 13 clinicians

Practice addresses (Care Compare)

400 University Dr
Suite 211a
Prestonsburg, KY 41653-1080
Phone (606) 886-6622

713 Broadway St
Suite 301B
Paintsville, KY 41240-1465
Phone (606) 372-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Medical Associates of Prestonsburg Inc CurrentSince Jul 1, 2025 Accepting new patients
Albaree Health Services LLC CurrentSince Jul 1, 2025 Accepting new patients
Frontier Medical Associates of Paintsville Inc CurrentSince Jul 1, 2025 Accepting new patients
Martin County Rural Health Clinic PLLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

64 Kirk Plz
Inez, KY 41224
Phone (606) 298-2520

713 Broadway St
Ste 301B
Paintsville, KY 41240
Phone (606) 372-1234

400 University Dr
Ste 211A
Prestonsburg, KY 41653
Phone (606) 886-6622

900 Tom Frazier Way
#200
Salyersville, KY 41465
Phone (606) 349-8100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1386534667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416530697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 UNIVERSITY DR STE 211",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531080",
            "telephone_number": "606-886-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONN",
        "first_name": "KAYLA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4042386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.