Individual provider Active NPI

Zachary Jarrid Cornett, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Georgetown, KY
National Provider Identifier
1407332000
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3012377 Issued in KY
Practice address
106 Osborne Way Ste B
Georgetown, KY 40324-9636
Phone
(502) 735-0400
Fax
(606) 547-4295
NPI assigned
Jul 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 3012377 KY Primary

Addresses

Primary practice location

106 Osborne Way Ste B
Georgetown, KY 40324-9636

Mailing address

2901 Pigeon Roost Rd
Rush, KY 41168-8132
Phone (606) 928-6648

Other identifiers 1

IdentifierTypeStateIssuer
7100545260MedicaidKY

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
I20210707003355 KY Practitioner - Nurse Practitioner 4688076078 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Key Assets Kentucky, Inc. CurrentSince May 8, 2025 Accepting new patients
Ramey-Estep Homes, Inc PastSince Jul 27, 2026 Accepting new patients
Ramey-Estep Homes, Inc PastSince Jul 27, 2026 Accepting new patients

Locations

2331 Fortune Dr
Ste 225
Lexington, KY 40509
Phone (859) 226-5022

2250 Thunderstick Dr
Ste 1104
Lexington, KY 40505
Phone (859) 300-9513

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.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407332000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 PIGEON ROOST RD",
            "city": "RUSH",
            "state": "KY",
            "postal_code": "411688132",
            "telephone_number": "606-928-6648",
            "fax_number": "606-928-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 OSBORNE WAY STE B",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249636",
            "telephone_number": "502-735-0400",
            "fax_number": "606-547-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNETT",
        "first_name": "ZACHARY",
        "middle_name": "JARRID",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3012377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100545260",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.