Individual provider Active NPI

Kayla Withrow, APRN

  • Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1487434700
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4005662 Issued in KY
Practice address
421 US 31W Byp
Bowling Green, KY 42101-1775
Phone
(270) 782-7768
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4005662 KY Primary

Addresses

Primary practice location

421 US 31W Byp
Bowling Green, KY 42101-1775

Mailing address

421 US 31W Byp
Bowling Green, KY 42101-1775

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
I20240402000764 KY Practitioner - Nurse Practitioner 1658719232 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
Commonwealth Health Corporation, Inc.Group PAC ID 5496667628, 268 clinicians

Practice addresses (Care Compare)

421 US 31W Byp
Bowling Green, KY 42101-1775
Phone (270) 782-7768

Hospital & facility affiliations

  • The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4005662KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc Nurse Practitioner Current Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Feb 17, 2024 Accepting new patients
Commonwealth Health Corporation, Inc CurrentSince Feb 17, 2024 Accepting new patients
Commission for Children With Special Health Car Past Accepting new patients
Commonwealth Health Corporation Past Accepting new patients

Locations

421 US 31W Byp
Bowling Green, KY 42101
Phone (270) 782-7768

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

1100 Brookhaven Rd
Franklin, KY 42134
Phone (270) 586-3253

Organizations & group practices 5

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 1

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": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1487434700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 US 31W BYP",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 US 31W BYP",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011775",
            "telephone_number": "270-782-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHROW",
        "first_name": "KAYLA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4005662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.