Individual provider Active NPI

Sheena Lynn Felts, APRN

  • Family Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1417671041
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018424 Issued in KY
Practice address
242 Berger Rd
Paducah, KY 42003-4522
Phone
(270) 366-0960
Fax
(270) 554-1108
NPI assigned
Sep 27, 2022
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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 3018424 KY Primary

Addresses

Primary practice location

242 Berger Rd
Paducah, KY 42003-4522

Mailing address

242 Berger Rd
Paducah, KY 42003-4522
Phone (270) 366-0960

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
I20230413000909 KY Practitioner - Nurse Practitioner 0749655348 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky PLLC Family CurrentSince Apr 1, 2023 Accepting new patients
Signify Health, LLC CurrentSince Jul 17, 2023 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Bluegrass Pediatrics, LLC Past Accepting new patients

Locations

401 Main St
Benton, KY 42025
Phone (270) 906-0369

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

1251 Paris Rd
Mayfield, KY 42066
Phone (270) 356-1345

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1417671041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 BERGER RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034522",
            "telephone_number": "270-366-0960",
            "fax_number": "270-554-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 BERGER RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034522",
            "telephone_number": "270-366-0960",
            "fax_number": "270-554-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTS",
        "first_name": "SHEENA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.