Active NPI
Kristy Nicole Bamgardner, CFA
- Surgical Assistant
- Elizabethtown, KY
National Provider Identifier
1578720140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA151
- Practice address
- 590 Boulder Dr
Elizabethtown, KY 42701-5113 - Phone
- (270) 234-9932
- Fax
- (270) 234-9932
- NPI assigned
- May 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA151 | KY | Primary |
Addresses
Primary practice location
590 Boulder Dr
Elizabethtown, KY 42701-5113
Mailing address
590 Boulder Dr
Elizabethtown, KY 42701-5113
Phone (270) 234-9932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA151 | KY | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baumgardner Assisting PLLC | Surgical Assistant | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgical Assistant
- Elizabethtown, KY
- NPI 1679737266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1578720140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 BOULDER DR",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427015113",
"telephone_number": "270-234-9932",
"fax_number": "270-234-9932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 BOULDER DR",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427015113",
"telephone_number": "270-234-9932",
"fax_number": "270-234-9932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAMGARDNER",
"first_name": "KRISTY",
"middle_name": "NICOLE",
"credential": "CFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "KY",
"license": "SA151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.