Individual provider Active NPI

Kimberly R Whitley, PA

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1447493408
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC007 Issued in KY
Practice address
Uk Division of Digestive Diseases
800 Rose St., Mn654 Med Science BLDG
Lexington, KY 40536-0298
Phone
(859) 323-0079
Fax
(859) 257-9287
NPI assigned
Apr 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TC007 KY Primary

Addresses

Primary practice location

Uk Division of Digestive Diseases
800 Rose St., Mn654 Med Science BLDG
Lexington, KY 40536-0298

Mailing address

Uk Division of Digestive Diseases
800 Rose St., Mn654 Med Science BLDG
Lexington, KY 40536-0298
Phone (859) 323-4887

Other names 1

  • Kimberly R Murray Former name

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
I20090810000363 KY Practitioner - Physician Assistant 8628122611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1055 Dove Run Rd
Lexington, KY 40502-3536
Phone (859) 269-4668

1825 Airport Exchange Blvd
Suite 100
Erlanger, KY 41018-3900
Phone (859) 647-6228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TC007KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Sep 14, 2015 Accepting new patients
American Current Care P.a. CurrentSince Sep 14, 2015 Accepting new patients
University of Kentucky CurrentSince Sep 14, 2014 Accepting new patients
First Stop Urgent Care Center PSC Physician Assistant Past Accepting new patients

Locations

1825 Airport Exchange Blvd
Ste 100
Erlanger, KY 41018
Phone (859) 647-6228

1498 Boardwalk
Lexington, KY 40511
Phone (859) 254-5520

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

800 Rose St
#654
Lexington, KY 40536
Phone (859) 323-4887

1722 Sharkey Way
Lexington, KY 40511
Phone (859) 245-0692

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1447493408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UK DIVISION OF DIGESTIVE DISEASES",
            "address_2": "800 ROSE ST., MN654 MED SCIENCE BLDG",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360298",
            "telephone_number": "859-323-4887",
            "fax_number": "859-257-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UK DIVISION OF DIGESTIVE DISEASES",
            "address_2": "800 ROSE ST., MN654 MED SCIENCE BLDG",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360298",
            "telephone_number": "859-323-0079",
            "fax_number": "859-257-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MURRAY",
            "middle_name": "R",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.