Kimberly Henderson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4023040 Issued in KY

Practice address

56 Tower Cir
Somerset, KY 42503-3476

Phone

(606) 677-2913

Fax

(606) 677-6983

NPI assigned

Jan 13, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lake Cumberland Physician Practices LLCGroup PAC ID 2567510464, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://97465a19-0dc7-4ef3-9aea-f72e472d3305.gastro.prod.fhir.ema-api.com/fhir/r4/
• Direct secure messaging: kimberly.henderson.1@21269.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4

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.

• Lake Cumberland Physician Practices, LLC

  • Orthopaedic Surgery Physician
  • Somerset, KY
  • NPI 1811356892
  Medicare reassignment Care Compare group NPD
• Lake Cumberland Physician Practices

  • Surgery Physician
  • Somerset, KY
  • NPI 1417214669
  NPD
• Lake Cumberland Physician Practices LLC

  • Gastroenterology Physician
  • Somerset, KY
  • NPI 1174091383
  NPD
• Lake Cumberland Surgery Center LP

  • Ambulatory Surgical Clinic/Center
  • Somerset, KY
  • NPI 1720143779
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lake Cumberland Regional Hospital LLC

  • Rural Acute Care Hospital
  • Somerset, KY
  • NPI 1619038247
  Care Compare affiliation

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1407666142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 TOWER CIR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033476",
            "telephone_number": "606-677-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 TOWER CIR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033476",
            "telephone_number": "606-677-2913",
            "fax_number": "606-677-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KIMBERLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4023040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Lyn Helton, LPCC
• Jessica Helton
• Hematology & Oncology Center, PLLC
• Linda Henderlight, RD, LD
• Chad C. Henderson, D.C.
• Russell G Hendricks
• Sara Elizabeth Hendricks, LPCC
• Linda F Henegar, LCSW
• Mark A Henry, MD
• Teresa Henry

• Family Nurse Practitioner in Somerset, KY
• Providers in Somerset, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.