Individual provider Active NPI

Katina D Hall, APRN

  • Nurse Practitioner
  • Nicholasville, KY
National Provider Identifier
1497757157
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3003288 Issued in KY
Practice address
101 Orchard Dr
Nicholasville, KY 40356-2690
Phone
(859) 881-4288
Fax
(859) 881-4388
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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 3003288 KY Primary

Addresses

Primary practice location

101 Orchard Dr
Nicholasville, KY 40356-2690

Mailing address

215 E 11TH St
Newport, KY 41071-2203
Phone (859) 655-6100

Other identifiers 1

IdentifierTypeStateIssuer
78005063MedicaidKY

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
I20140602002496 KY Practitioner - Nurse Practitioner 5597988097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpoint Family Care, Inc.Group PAC ID 9638089642, 51 clinicians

Practice addresses (Care Compare)

101 Orchard Dr
Nicholasville, KY 40356-2690
Phone (859) 881-4288

Hospital & facility affiliations

  • Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William M Collins CurrentSince Mar 25, 2014 Accepting new patients
Healthpoint Family Care Inc CurrentSince Jun 5, 2017 Accepting new patients
William M Collins CurrentSince Mar 25, 2014 Accepting new patients
Healthpoint Family Care, Inc. CurrentSince Jun 5, 2017 Accepting new patients
Mitchell Wicker Jr MD PSC Past Accepting new patients
Mitchell Wicker., Jr., M.D., P.S.C. Past Accepting new patients

Locations

1401 Madison Ave
Covington, KY 41011
Phone (606) 655-8034

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

215 E 11th St
Newport, KY 41071

109 E Main St
Whitesburg, KY 41858
Phone (606) 633-4488

Organizations & group practices 6

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 4

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1497757157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 11TH ST",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712203",
            "telephone_number": "859-655-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ORCHARD DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403562690",
            "telephone_number": "859-881-4288",
            "fax_number": "859-881-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KATINA",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78005063",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.