Organization Active NPI

Kentucky Integrative Autism Specialist

  • Nurse Practitioner
  • Paris, KY
National Provider Identifier
1508645359
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
KENTUCKY INTEGRATIVE AUTISM SPECIALIST
Practice address
3287 North Middletown Rd
Paris, KY 40361-2145
Phone
(859) 592-4992
Fax
(859) 788-6577
NPI assigned
Sep 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Tiffany Banks, APRNNPI 1346906898
Title
NP
Phone
(859) 592-4992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

3287 North Middletown Rd
Paris, KY 40361-2145

Mailing address

PO Box 116
North Middletown, KY 40357-0116
Phone (859) 592-4992

Other names 1

  • KY Integrative Autism & Family Care Doing business as

National Provider Directory

National Provider Directory

Locations

1025 Dove Run Rd
Ste 204
Lexington, KY 40502
Phone (859) 253-0476

416 Millersburg Rd
Paris, KY 40361
Phone (859) 592-4992

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1508645359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "NORTH MIDDLETOWN",
            "state": "KY",
            "postal_code": "403570116",
            "telephone_number": "859-592-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3287 NORTH MIDDLETOWN RD",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403612145",
            "telephone_number": "859-592-4992",
            "fax_number": "859-788-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY INTEGRATIVE AUTISM SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "859-592-4992",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KY Integrative Autism & Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paris, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.