Kelly C. Pate, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3012410 Issued in KY

Practice address

950 Main St
Munfordville, KY 42765

Phone

(270) 524-1201

Fax

(270) 506-5972

NPI assigned

Jun 12, 2018

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

Other identifiers 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kellypate@ggc.allscriptsdirect.net

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.

• Zipclinic, PSC

  • Primary Care Clinic/Center
  • Bowling Green, KY
  • NPI 1861873507
  NPD

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1639662976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011708",
            "telephone_number": "270-524-1201",
            "fax_number": "270-506-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MAIN ST",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "42765",
            "telephone_number": "270-524-1201",
            "fax_number": "270-506-5972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 N Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427019468",
            "country_code": "US",
            "telephone_number": "270-640-0146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATE",
        "first_name": "KELLY",
        "middle_name": "C.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100592940",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Minch, LPCC
• Kimberly Ann Owens, APRN
• Sandhya Pahuja, M.D.
• Jackie A. Pandeya, APRN
• Virag Pandeya, M.D.
• Anissa Pendleton, PHARMD
• Julie Percefull, APRN
• Brandy Gayle Pierce, APRN
• Leslie Anne Pike, PHARMD
• Kevin R Pillars, DC

• Family Nurse Practitioner in Munfordville, KY
• Providers in Munfordville, 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 Nov 19, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.