Individual provider Active NPI

Chandre Hatton, APRN

  • Family Nurse Practitioner
  • Berea, KY
National Provider Identifier
1417478157
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011193 Issued in KY
Practice address
1000 Ace Dr
Berea, KY 40403-1327
Phone
(859) 756-5006
Fax
(859) 985-9665
NPI assigned
Jul 3, 2017
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011193 KY Primary

Addresses

Primary practice location

1000 Ace Dr
Berea, KY 40403-1327

Mailing address

1000 Ace Dr
Berea, KY 40403-1327
Phone (859) 756-5006

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
I20171201001223 KY Practitioner - Nurse Practitioner 7810254737 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BHG XXXV, LLC CurrentSince Dec 1, 2021 Accepting new patients
BHG Xxvi, LLC CurrentSince Dec 1, 2021 Accepting new patients
BHG XXXV, LLC CurrentSince Dec 1, 2021 Accepting new patients
BHG Xxiv, LLC CurrentSince Dec 1, 2021 Accepting new patients
BHG Xxxiv, LLC CurrentSince Dec 1, 2021 Accepting new patients
BHG XXV, LLC CurrentSince Dec 1, 2021 Accepting new patients
BHG Xxxiii, LLC CurrentSince Dec 1, 2021 Accepting new patients
The Walker House Inc Past Accepting new patients

Locations

1000 Ace Dr
Berea, KY 40403
Phone (859) 256-5006

785 Cumberland Gap Pkwy
Ste 3
Corbin, KY 40701
Phone (606) 526-9348

118 Grand Vue Plz
Ste 118
Hazard, KY 41701
Phone (606) 487-1646

455 Park Pl
Ste 130
Lexington, KY 40511
Phone (859) 276-0533

2705 Olivet Church Rd
Ste 600
Paducah, KY 42001
Phone (270) 443-0096

628 Jefferson Ave
Paintsville, KY 41240
Phone (214) 365-6132

255 Church St
Ste 204
Pikeville, KY 41501
Phone (606) 432-4104

5001 Spring Vly
Ste 600E
Dallas, TX 75244

Organizations & group practices 8

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1417478157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ACE DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031327",
            "telephone_number": "859-756-5006",
            "fax_number": "859-756-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ACE DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031327",
            "telephone_number": "859-756-5006",
            "fax_number": "859-985-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTON",
        "first_name": "CHANDRE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.