Individual provider Active NPI

Eric Gentry Helton, APRN

  • Family Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1497179956
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008489 Issued in KY
Practice address
57 Summit Dr
Corbin, KY 40701-2746
Phone
(606) 528-9700
Fax
(606) 528-8423
NPI assigned
Feb 4, 2014
Last updated
Sep 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008489 KY Primary

Addresses

Primary practice location

57 Summit Dr
Corbin, KY 40701-2746

Mailing address

57 Summit Dr
Corbin, KY 40701-2746
Phone (606) 528-9700

Other identifiers 1

IdentifierTypeStateIssuer
7100276910MedicaidKY

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
I20140227001957 KY Practitioner - Nurse Practitioner 5395975932 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008489KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Community Health Center, Inc. Current Accepting new patients
Grace Community Health Center, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Grace Community Health Center Inc Family CurrentSince Mar 1, 2023 Accepting new patients

Locations

57 Summit Dr
Corbin, KY 40701
Phone (606) 528-9700

14662 N US Highway 25 E
Corbin, KY 40701
Phone (606) 526-9005

1019 Cumberland Falls Hwy
Ste B201
Corbin, KY 40701

39 Cumberland Gap Plz
Gray, KY 40734
Phone (606) 526-9005

313 S Cherry St
Pineville, KY 40977
Phone (606) 654-3338

Interoperability endpoints

  • Direct secure messaging: ehelton704192@direct.ochin.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1497179956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 SUMMIT DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012746",
            "telephone_number": "606-528-9700",
            "fax_number": "606-528-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 SUMMIT DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012746",
            "telephone_number": "606-528-9700",
            "fax_number": "606-528-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELTON",
        "first_name": "ERIC",
        "middle_name": "GENTRY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-04",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100276910",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.