Individual provider Active NPI

Vanessa Flannery, DNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1396238218
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3012414 Issued in KY
Practice address
10730 Midland Trail Rd
Ashland, KY 41102-9679
Phone
(606) 618-0282
Fax
(606) 618-9280
NPI assigned
Jun 14, 2018
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012414 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3012414 KY Primary

Addresses

Primary practice location

10730 Midland Trail Rd
Ashland, KY 41102-9679

Mailing address

10730 Midland Trail Rd
Ashland, KY 41102-9679
Phone (606) 618-0282

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
I20201117000411 KY Practitioner - Nurse Practitioner 4688085053 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3012414KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartoria Health Services LLC CurrentSince Sep 1, 2020 Accepting new patients
Fresh Start Health PSC CurrentSince Jun 18, 2021 Accepting new patients
Fresh Start Health PSC CurrentSince Jun 18, 2021 Accepting new patients
Fresh Start Health PSC PastSince Feb 1, 2022 Accepting new patients

Locations

336 29th St
Ste 203
Ashland, KY 41101
Phone (606) 225-8200

207 N Carol Malone Blvd
Ste 3
Grayson, KY 41143
Phone (606) 225-8200

212 E 3rd St
Grayson, KY 41143
Phone (606) 225-8200

3161 Custer Dr
Ste 3
Lexington, KY 40517
Phone (859) 368-0434

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, 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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1396238218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 MIDLAND TRAIL RD",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411029679",
            "telephone_number": "606-618-0282",
            "fax_number": "606-618-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 MIDLAND TRAIL RD",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411029679",
            "telephone_number": "606-618-0282",
            "fax_number": "606-618-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANNERY",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012414",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3012414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.