Individual provider Active NPI

Charlotte Kaye Hayes

  • Acute Care Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1497494512
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3017756 Issued in KY
Practice address
305 Langdon St
Somerset, KY 42503-2750
Phone
(606) 451-5007
NPI assigned
May 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3017756 KY Primary

Addresses

Primary practice location

305 Langdon St
Somerset, KY 42503-2750

Mailing address

2738 Wabd Jones Rd
Brodhead, KY 40409-8639
Phone (606) 308-4567

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
I20220912000510 KY Practitioner - Nurse Practitioner 3971988056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Cumberland Cardiology Associates LLCGroup PAC ID 5092854034, 7 clinicians

Practice addresses (Care Compare)

50 Medpark Square Dr
Suite 1
Somerset, KY 42503-1708
Phone (606) 678-0599

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3017756KYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Physician Practices LLC CurrentSince Jun 6, 2022 Accepting new patients
Lake Cumberland Cardiology Associates LLC CurrentSince Mar 1, 2023 Accepting new patients
Lake Cumberland Physician Practices, LLC Acute Care Current Accepting new patients
Lake Cumberland Physician Practices LLC CurrentSince Jun 6, 2022 Accepting new patients
Lake Cumberland Physician Practices LLC Past Accepting new patients

Locations

305 Langdon St
Ste B
Somerset, KY 42503

30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644

305 Medpark Dr
Somerset, KY 42503
Phone (606) 263-2912

75 Hail Knob Rd
Somerset, KY 42503
Phone (606) 678-9617

50 Medpark Dr
Ste 1
Somerset, KY 42503

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: charlotte.hayes.1@21269.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1497494512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 WABD JONES RD",
            "city": "BRODHEAD",
            "state": "KY",
            "postal_code": "404098639",
            "telephone_number": "606-308-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 LANGDON ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032750",
            "telephone_number": "606-451-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "CHARLOTTE",
        "middle_name": "KAYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3017756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.