Individual provider Active NPI

Kathy Lynne Vincent, APRN, NP-BC

  • Nurse Practitioner
  • Providence, KY
National Provider Identifier
1598060899
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3006796 Issued in KY
Practice address
215 E Main St
Providence, KY 42450-1261
Phone
(270) 667-7017
Fax
(270) 667-9065
NPI assigned
Jan 18, 2011
Last updated
Mar 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3006796 KY Primary

Addresses

Primary practice location

215 E Main St
Providence, KY 42450-1261

Mailing address

PO Box 37
Providence, KY 42450-0037
Phone (270) 667-7017

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
I20110330000244 KY Practitioner - Nurse Practitioner 6103009022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Skin Cancer Center PLLCGroup PAC ID 2668729336, 12 clinicians

Practice addresses (Care Compare)

2915 New Hartford Rd
Owensboro, KY 42303-1323
Phone (270) 842-1999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Skin Cancer Center PLLC CurrentSince Jan 20, 2025 Accepting new patients

Locations

1818 Wallace Ct
#301
Bowling Green, KY 42103
Phone (270) 842-1999

2915 New Hartford Rd
Owensboro, KY 42303
Phone (270) 688-8060

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1598060899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424500037",
            "telephone_number": "270-667-7017",
            "fax_number": "270-667-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424501261",
            "telephone_number": "270-667-7017",
            "fax_number": "270-667-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "KATHY",
        "middle_name": "LYNNE",
        "credential": "APRN, NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, KY

Sources for this page

Verify at the official NPI Registry.