Individual provider Active NPI

Katlin Marie Thomas, APRN

  • Family Nurse Practitioner
  • Lebanon, KY
National Provider Identifier
1447940754
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4010004 Issued in KY
Practice address
320 W Walnut St
Lebanon, KY 40033-1345
Phone
(270) 699-9500
NPI assigned
May 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4010004 KY Primary
Registered Nurse 163W00000X 1156421 KY

Addresses

Primary practice location

320 W Walnut St
Lebanon, KY 40033-1345

Mailing address

325 W Walnut St
Lebanon, KY 40033-1377
Phone (270) 699-9500

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
I20231205002051 KY Practitioner - Nurse Practitioner 0345699138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family and Internal Medicine Associates PLLCGroup PAC ID 9335051002, 12 clinicians

Practice addresses (Care Compare)

325 W Walnut
Suite 600
Lebanon, KY 40033-1378

325 W Walnut St
Lebanon, KY 40033-1378
Phone (270) 699-9500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1156421KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Kentucky CurrentSince Aug 28, 2023 Accepting new patients
VMD Primary Providers Central Kentucky CurrentSince Aug 28, 2023 Accepting new patients
Primary Care Medical Center Inc Family Current Accepting new patients

Locations

325 W Walnut St
Ste 600
Lebanon, KY 40033
Phone (270) 699-9500

325 W Walnut St
Lebanon, KY 40033
Phone (270) 699-9500

1000 S 12th St
Murray, KY 42071
Phone (270) 759-9200

Interoperability endpoints

  • Direct secure messaging: katlin.thomas.1@22064.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1447940754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W WALNUT ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331377",
            "telephone_number": "270-699-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W WALNUT ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331345",
            "telephone_number": "270-699-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KATLIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4010004",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1156421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, KY

Sources for this page

Verify at the official NPI Registry.