Kristen Predmore, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3013743 Issued in KY

Practice address

842 E Mountain Pkwy
Salyersville, KY 41465-8378

Phone

(606) 349-8100

Fax

(606) 349-8150

NPI assigned

Mar 25, 2019

Last updated

Aug 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kristen Ashe Former name

Medicare fee-for-service enrollment

Enrolled in WV, KY2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Martin County Rural Health Clinic PLLCGroup PAC ID 9436372141, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Martin County Rural Health Clinic PLLC

  • Rural Health Clinic/Center
  • Inez, KY
  • NPI 1316363112
  Medicare reassignment Care Compare group NPD
• Albaree Health Services LLC

  • Internal Medicine Physician
  • Salyersville, KY
  • NPI 1730232182
  Medicare reassignment NPD
• Eastern Kentucky Tender Care Pediatrics LLC

  • Rural Health Clinic/Center
  • Prestonsburg, KY
  • NPI 1043437254
  Medicare reassignment NPD
• Frontier Behavioral Health Center PLLC

  • Multi-Specialty Clinic/Center
  • Salyersville, KY
  • NPI 1295287118
  Medicare reassignment NPD
• Frontier Medical Associates of Paintsville Inc

  • Rural Health Clinic/Center
  • Paintsville, KY
  • NPI 1568070142
  Medicare reassignment NPD
• Recover Together, Inc.

  dba Groups Recover Together

  • Adult Mental Health Clinic/Center
  • London, KY
  • NPI 1346736758

  Psychiatry, WV

  Medicare reassignment NPD
• Stultz Sleep Study Services

  dba Rest Ensured Sleep Technologies

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Barboursville, WV
  • NPI 1649593377
  Medicare reassignment NPD
• Frontier Medical Associates of Prestonsburg Inc

  • Rural Health Clinic/Center
  • Prestonsburg, KY
  • NPI 1447840798
  NPD
• Samaritan Family Care LLC

  • Family Medicine Physician
  • Paintsville, KY
  • NPI 1629536206

  Psychiatric/Mental Health

  NPD
• Alpha Health Services PLLC

  • Clinical Medical Laboratory
  • Prestonsburg, KY
  • NPI 1508210030
  NPD (past)

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1518427459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416530280",
            "telephone_number": "606-349-7474",
            "fax_number": "606-349-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 E MOUNTAIN PKWY",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "414658378",
            "telephone_number": "606-349-8100",
            "fax_number": "606-349-8150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93 Pickett Ln",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416538569",
            "country_code": "US",
            "telephone_number": "606-874-2300",
            "fax_number": "606-874-2888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6171 Childers Rd",
            "address_purpose": "LOCATION",
            "city": "Barboursville",
            "state": "WV",
            "postal_code": "255041227",
            "country_code": "US",
            "telephone_number": "304-733-5380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4851 Ky Route 321",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416539113",
            "country_code": "US",
            "telephone_number": "606-886-1173",
            "fax_number": "606-886-2193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "838 E Mountain Pkwy",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414658378",
            "country_code": "US",
            "telephone_number": "606-349-7475",
            "fax_number": "606-349-7476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Oak Ridge Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416538607",
            "country_code": "US",
            "telephone_number": "606-506-5114",
            "fax_number": "606-506-5116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "283 Goble St",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416537967",
            "country_code": "US",
            "telephone_number": "606-874-2300",
            "fax_number": "606-874-2888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Oak Ridge Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416538607",
            "country_code": "US",
            "telephone_number": "606-506-5114",
            "fax_number": "606-506-5116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 Kirk Plz",
            "address_purpose": "LOCATION",
            "city": "Inez",
            "state": "KY",
            "postal_code": "412246501",
            "country_code": "US",
            "telephone_number": "606-298-2520",
            "fax_number": "606-298-2522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREDMORE",
        "first_name": "KRISTEN",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3013743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100617960",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ASHE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Ann Patrick, ARNP
• Mike Lawerence Pickle, PTA
• Prater Borders Elementary School
• Prater Drug Inc
• Prater Drug Inc
• Misty Dawn Puckett, CSW
• Jeffery L. Ramey, MHA
• Beth Ann Ratliff, DMD
• James Edwin Ratliff II, DMD
• Teddy R Rudder, OTR

• Psychiatric/Mental Health Nurse Practitioner in Salyersville, KY
• Providers in Salyersville, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.

Verify at the official NPI Registry.