Angela D Ethridge, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3006302 Issued in KY

Practice address

561 Ethridge LN
Coxs Creek, KY 40013-8857

Phone

(502) 262-7929

Fax

(833) 449-5151

NPI assigned

Dec 16, 2009

Last updated

May 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hosparus, Inc Hospice, Louisville, KY, CCN 181502

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.ethridge.1@29428.direct.athenahealth.com

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.

• Angie Ethridge Aprn PLLC

  • Family Nurse Practitioner
  • Coxs Creek, KY
  • NPI 1548638240
  Medicare reassignment NPD Authorized official
• Hosparus Palliative Care Inc.

  dba Palliative Care Services Inc.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Louisville, KY
  • NPI 1639193113
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hosparus Inc.

  dba Hosparus Western Kentucky

  • Community Based Hospice Care Agency
  • Madisonville, KY
  • NPI 1093491904
  Care Compare affiliation
• Hosparus Inc.

  dba Hosparus Health

  • Community Based Hospice Care Agency
  • Louisville, KY
  • NPI 1609922707
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1619206885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37271",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151214",
            "telephone_number": "888-488-8289",
            "fax_number": "833-449-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 ETHRIDGE LN",
            "city": "COXS CREEK",
            "state": "KY",
            "postal_code": "400138857",
            "telephone_number": "502-262-7929",
            "fax_number": "833-449-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHRIDGE",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.ethridge.1@29428.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "561 Ethridge Ln",
            "city": "Coxs Creek",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400138857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angie Ethridge Aprn PLLC
• Sara Ballard
• Shirley Liao Barker, MS, BCBA, LBA
• Judith L. Cooke, MD
• Jacqueline Beatrice Dale, MSCCCSLP
• Jennifer Fenwick
• Kaitlyn Doris Pate, OTR/L
• Pathway to Potential Occupational Therapy
• Michaela Petsy
• Kaylee Brooke Reynolds

• Family Nurse Practitioner in Coxs Creek, KY
• Providers in Coxs Creek, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.