Active NPI
Lindy Nettleton
- Family Medicine Physician
- Grayson, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04270
- Practice address
- 645 Interstate Dr
Grayson, KY 41143-1704 - Phone
- (606) 474-0669
- Fax
- (606) 474-0376
- NPI assigned
- Jun 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36691 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 04270 | KY | Primary |
Addresses
Primary practice location
645 Interstate Dr
Grayson, KY 41143-1704
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7723
Other practice location 1
55 Hospital Dr
Athens, OH 45701-2302
Phone (740) 592-9334
Other practice location 2
732 Elizaville Ave
Flemingsburg, KY 41041
Phone (606) 849-2323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDNG | Medicaid | KY |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Therapy and Health Centers Inc
Practice addresses (Care Compare)
1 W McDonald Pkwy
Maysville, KY 41056-1164
Phone (859) 509-5636
211 Ky
Suite 59
Vanceburg, KY 41179-7647
Phone (606) 796-3029
432 16TH St
Ashland, KY 41101-7693
Phone (859) 509-5636
525 Tucker Dr
Maysville, KY 41056-9182
Phone (859) 509-5636
710 N Carol Malone Boulevard
Suite a
Grayson, KY 41143-1126
Phone (606) 474-0157
927 Kenton Station Dr
Maysville, KY 41056-9617
Phone (606) 759-5331
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04270 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadowview Physician Practice, LLC | Family Medicine | Current | Accepting new patients |
| Lewis County Primary Care Center, Inc. | Current | Accepting new patients | |
| Meadowview Physician Practice LLC | Current | Accepting new patients | |
| Meadowview Physician Practice LLC | Current | Accepting new patients | |
| Southeastern Physician Services PC | Current | Accepting new patients | |
| Lewis County Primary Care Center, Inc. | Current | Accepting new patients |
Locations
723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421
432 16th St
Ashland, KY 41101
Phone (859) 509-5636
55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351
732 Elizaville Ave
Flemingsburg, KY 41041
Phone (606) 849-2323
645 Interstate Dr
Grayson, KY 41143
Phone (606) 474-0669
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
991 Medical Park Dr
Ste 201
Maysville, KY 41056
Phone (606) 759-3585
991 Medical Park Dr
Ste 202
Maysville, KY 41056
Phone (606) 759-5424
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- lindy.nettleton.1@13661.direct.athenahealth.com
- lindy.nettleton.1@19475.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba PrimaryPlus
- Federally Qualified Health Center (FQHC)
- Vanceburg, KY
- NPI 1457303802
-
- Otolaryngology Physician
- Maysville, KY
- NPI 1760893275
Family Medicine
-
dba PrimaryPlus - Morehead
- Federally Qualified Health Center (FQHC)
- Morehead, KY
- NPI 1215643440
-
dba Meadowview Pulmonary and Sleep Center
- Pulmonary Disease Physician
- Maysville, KY
- NPI 1386073872
-
dba Meadowview Internal Medicine & Pediatric Associates
- Rural Health Clinic/Center
- Maysville, KY
- NPI 1952152530
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kings Daughters Medical Center
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
-
dba Hayswood Home Health
- Home Health Agency
- Maysville, KY
- NPI 1669426748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1447662077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SEVEN SPRINGS WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275098",
"telephone_number": "615-920-7723",
"fax_number": "615-920-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 INTERSTATE DR",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411431704",
"telephone_number": "606-474-0669",
"fax_number": "606-474-0376"
}
],
"practiceLocations": [
{
"address_1": "55 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "OH",
"postal_code": "457012302",
"country_code": "US",
"telephone_number": "740-592-9334",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "732 Elizaville Ave",
"address_purpose": "LOCATION",
"city": "Flemingsburg",
"state": "KY",
"postal_code": "41041",
"country_code": "US",
"telephone_number": "606-849-2323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NETTLETON",
"first_name": "LINDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-02",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "36691",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "04270",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDNG",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grayson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.