Individual provider Active NPI

Kristen Marie Nash, D.O., M.P.H.

  • Family Medicine Physician
  • Harlan, KY
National Provider Identifier
1609308618
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04813 Issued in KY
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200914000531 KY Practitioner - Family Practice 0840561205 Reassigns benefits to 2 organizations

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 IncGroup PAC ID 2062317027, shared by 2 NPIs, 5 clinicians

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

LicenseStateTypeSpecialty
04813KYMDFamily Medicine Physician
TP484KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clover Fork Outpatient Medical Project Inc CurrentSince Jul 27, 2020 Accepting new patients
Clover Fork Outpatient Medical Project Inc CurrentSince Jul 27, 2020 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.

Hospital & facility affiliations 3

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": "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

Sources for this page

Verify at the official NPI Registry.