Individual provider Active NPI

Ciara Hope Medlin, APRN

  • Family Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1548110786
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4052373 Issued in KY
Practice address
1 Trillium Way
Corbin, KY 40701-8426
Phone
(606) 528-1212
NPI assigned
Jan 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4052373 KY Primary

Addresses

Primary practice location

1 Trillium Way
Corbin, KY 40701-8426

Mailing address

814 Campbell Rd
Corbin, KY 40701-5208

Other practice location 1

1102 S Main St
London, KY 40741-1529
Phone (606) 770-5121

Other practice location 2

94 Dogpatch Trading Ctr Unit 2
London, KY 40741-8292
Phone (606) 770-5121

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
I20260316003643 KY Practitioner - Nurse Practitioner 5890278089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practitioner Services PLLCGroup PAC ID 6305150954, 7 clinicians

Practice addresses (Care Compare)

1102 S Main St
London, KY 40741-1529
Phone (606) 770-6121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4052373KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Practitioner Services PLLC CurrentSince Feb 13, 2026 Accepting new patients
Practitioner Services PLLC Family CurrentSince Feb 13, 2026 Accepting new patients

Locations

94 Dogpatch Trading Ctr
#2
London, KY 40741
Phone (606) 877-1352

1102 S Main St
London, KY 40741
Phone (606) 770-5121

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1548110786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 CAMPBELL RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407015208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRILLIUM WAY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018426",
            "telephone_number": "606-528-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 S Main St",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407411529",
            "country_code": "US",
            "telephone_number": "606-770-5121",
            "fax_number": "606-770-5199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94 Dogpatch Trading Ctr Unit 2",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407418292",
            "country_code": "US",
            "telephone_number": "606-770-5121",
            "fax_number": "606-770-5199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDLIN",
        "first_name": "CIARA",
        "middle_name": "HOPE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4052373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.