Individual provider Active NPI

Kristen Nicole Murphy, DO

  • Family Medicine Physician
  • Ashland, KY
National Provider Identifier
1568876357
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04156 Issued in KY
Practice address
432 16TH St
Ashland, KY 41101-7693
Phone
(606) 324-0128
Fax
(606) 326-1372
NPI assigned
Jun 19, 2014
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04156 KY Primary

Addresses

Primary practice location

432 16TH St
Ashland, KY 41101-7693

Mailing address

PO Box 550
Vanceburg, KY 41179-0550
Phone (606) 956-0162

Other identifiers 1

IdentifierTypeStateIssuer
04156OtherKYMEDICAL LICENSE

Other names 1

  • Kristen Nicole Fultz Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170901002422 KY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 7012280639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

2400 13TH St
Ashland, KY 41102-4510
Phone (606) 329-0910

432 16TH St
Ashland, KY 41101-7693
Phone (859) 509-5636

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
04156KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County Primary Care Center, Inc. CurrentSince Jun 3, 2019 Accepting new patients
Lewis County Primary Care Center, Inc. CurrentSince Jun 3, 2019 Accepting new patients

Locations

432 16th St
Ashland, KY 41101
Phone (859) 509-5636

Interoperability endpoints

  • Direct secure messaging: kristen.murphy.1@13661.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1568876357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411790550",
            "telephone_number": "606-956-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 16TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017693",
            "telephone_number": "606-324-0128",
            "fax_number": "606-326-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "04156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "04156",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "FULTZ",
            "middle_name": "NICOLE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.