Individual provider Active NPI

Kathryn Dru Greenwell Perkins, APRN

  • Pediatric Nurse Practitioner
  • Henderson, KY
National Provider Identifier
1497026132
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3007067 Issued in KY
Practice address
1300 Merritt Dr Ste 100
Henderson, KY 42420-2788
Phone
(270) 827-0064
Fax
(270) 826-3338
NPI assigned
Jan 25, 2012
Last updated
Oct 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 3007067 KY Primary

Addresses

Primary practice location

1300 Merritt Dr Ste 100
Henderson, KY 42420-2788

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (270) 827-4596

Other names 1

  • Kathryn Dru Greenwell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: kgreenwellperkins65967@direct.deaconess.com

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1497026132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "270-827-4596",
            "fax_number": "270-826-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERRITT DR STE 100",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202788",
            "telephone_number": "270-827-0064",
            "fax_number": "270-826-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWELL PERKINS",
        "first_name": "KATHRYN",
        "middle_name": "DRU",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3007067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "GREENWELL",
            "middle_name": "DRU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.