Active NPI
Kristen Marie Nash, D.O., M.P.H.
- Family Medicine Physician
- Harlan, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04813
- Practice address
- 209 E Mound St
Harlan, KY 40831-2321 - Phone
- (606) 573-1975
- Fax
- (606) 837-2111
- NPI assigned
- Mar 29, 2017
- Last updated
- Jan 31, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04813 | KY | Primary |
Addresses
Primary practice location
209 E Mound St
Harlan, KY 40831-2321
Mailing address
PO Box 39
Evarts, KY 40828-0039
Phone (603) 359-4487
Other practice location 1
101 Chad St
Evarts, KY 40828-8200
Phone (606) 837-2108 ext. 114
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of New England, College of Osteo Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clover Fork Outpatient Medical Project Inc
Practice addresses (Care Compare)
101 Chad St
Evarts, KY 40828-8200
Phone (606) 837-2108
209 E Mound St
Harlan, KY 40831-2321
Phone (606) 573-1975
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04813 | KY | MD | Family Medicine Physician |
| TP484 | KY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clover Fork Outpatient Medical Project Inc | Current | Accepting new patients | |
| Clover Fork Outpatient Medical Project Inc | Current | Accepting new patients | |
| Harlan Nursing Home, Inc. | Past | Accepting new patients |
Locations
101 Chad St
Evarts, KY 40828
Phone (606) 837-2108
209 E Mound St
Harlan, KY 40831
Phone (606) 573-1975
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Harlan, KY
- NPI 1497195036
-
- Federally Qualified Health Center (FQHC)
- Evarts, KY
- NPI 1811939366
-
dba Harlan Nursing Home
- Skilled Nursing Facility
- Harlan, KY
- NPI 1730291022
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Harlan Arh Home Health Agency
- Home Health Agency
- Harlan, KY
- NPI 1720074388
-
- General Acute Care Hospital
- Harlan, KY
- NPI 1306842521
-
dba Harlan Nursing Home
- Skilled Nursing Facility
- Harlan, KY
- NPI 1730291022
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1609308618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39",
"city": "EVARTS",
"state": "KY",
"postal_code": "408280039",
"telephone_number": "603-359-4487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 E MOUND ST",
"city": "HARLAN",
"state": "KY",
"postal_code": "408312321",
"telephone_number": "606-573-1975",
"fax_number": "606-837-2111"
}
],
"practiceLocations": [
{
"address_1": "101 Chad St",
"address_purpose": "LOCATION",
"city": "Evarts",
"state": "KY",
"postal_code": "408288200",
"country_code": "US",
"telephone_number": "606-837-2108 x114",
"fax_number": "606-837-2111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NASH",
"first_name": "KRISTEN",
"middle_name": "MARIE",
"credential": "D.O., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-29",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "04813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harlan, KY
- Crystal Dawn Miniard, OTR/L
- Mountain Comprehensive Health Corporation (Harlan Medical Center)
- Mountain Comprehensive Health Corporation (Harlan Pharmacy)
- Mountain Medical Enterprises, PLLC
- Gail Murray, M.A. CCC/SLP
- Kimber Nolan, MS, OTR/L
- Matthew Garcia Nunez, D.M.D.
- Ayobola A Oloworaran, M.D.
- Haley Overbay, NP
- Ted Quinton Pace Jr., PHARMD, MT(ASCP)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.