Active NPI
Natalie Gwyn Evett
- Primary Care Nurse Practitioner
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 3013147
- Practice address
- 1221 S Broadway
Lexington, KY 40504-2701 - Phone
- (859) 258-4530
- Fax
- (859) 258-4870
- NPI assigned
- May 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 3013147 | KY | |
| Gerontology Nurse Practitioner | 363LG0600X | 3013147 | KY | |
| Primary Care Nurse Practitioner | 363LP2300X | 3013147 | KY | Primary |
Addresses
Primary practice location
1221 S Broadway
Lexington, KY 40504-2701
Mailing address
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100613230 | Medicaid | KY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013147 | KY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Vista of the Bluegrass Inc | Current | Accepting new patients | |
| University of Kentucky | Current | Accepting new patients | |
| Southeastern Physician Services PC | Current | Accepting new patients | |
| New Lexington Clinic, PSC | Current | Accepting new patients | |
| New Vista of the Bluegrass Inc | Current | Accepting new patients | |
| New Vista of the Bluegrass Inc | Current | Accepting new patients | |
| New Lexington Clinic PSC | Current | Accepting new patients |
Locations
2195 Harrodsburg Rd
Ste 125
Lexington, KY 40504
Phone (859) 257-4732
2195 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 323-2232
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
1351 Newtown Pike
Bldg 1
Lexington, KY 40511
Phone (858) 253-1686
1351 Newtown Pike
Bldg 5
Lexington, KY 40511
Phone (859) 233-0444
415 Gibson Ln
Richmond, KY 40475
Phone (859) 623-9367
Interoperability endpoints
- natalie.evett.1@13059.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1700803681
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Frankfort, KY
- NPI 1790731081
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lexington, KY
- NPI 1023359783
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Richmond, KY
- NPI 1457391344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1508422288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-6200",
"fax_number": "859-258-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-4530",
"fax_number": "859-258-4870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVETT",
"first_name": "NATALIE",
"middle_name": "GWYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-17",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KY",
"license": "3013147",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "KY",
"license": "3013147",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "KY",
"license": "3013147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100613230",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.