Gradaphene I Hayden, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Scottsville, KY
NPI 1649929811 · NPPES record last updated Jun 25, 2026
Key facts
- NPI
- 1649929811
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3017577 (KY)
- Practice address
- 12 Sunshine LN
Scottsville, KY 42164-7962 - Phone
- (904) 598-4622
- NPI assigned
- Mar 23, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11780 US Hwy 1
Suite N107
North Palm Beach, FL 33408
12 Sunshine LN
Scottsville, KY 42164-7962
200 Oceangate
Suite 100
Long Beach, CA 90802-4316
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in KY, TN, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220426000489 | KY | Practitioner - Nurse Practitioner | 3173910957 | Reassigns benefits to 3 organizations |
| I20251010000005 | TN | Practitioner - Nurse Practitioner | 3173910957 | Reassigns benefits to 1 organization |
| I20260608002945 | MI | Practitioner - Nurse Practitioner | 3173910957 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3017577 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longevity Clinical LTC Associates of Tennessee, PLLC | Current |
Accepting new patients | |
| Molina Care Connections, LLC. | Nurse Practitioner | Current |
Accepting new patients |
| Fast Pace Kentucky PLLC | Family | Current |
Accepting new patients |
| Zipclinic, PSC | Current |
Accepting new patients | |
| Longevity Clinical LTC Associates of Kentucky, PLLC | Current |
Accepting new patients | |
| Fast Pace Kentucky, PLLC | Current |
Accepting new patients | |
| Ak Healthcare Management Inc | Nurse Practitioner | Past |
Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
2508 Scottsville Rd
Ste 104
Bowling Green, KY 42104
Phone (270) 746-6330
2005 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 360-0008
1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111
5100 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 305-6267
2100 Cherokee Ridge Way
Louisville, KY 40205
Phone (502) 451-0990
1350 N Main St
Madisonville, KY 42431
Phone (270) 245-2554
880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316
309 Main St
Red Boiling Springs, TN 37150
Phone (270) 487-9272
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP.AP.70138382-NP | WA | |
| Family Nurse Practitioner | 363LF0000X | 3017577 | KY | Yes |
| Nurse Practitioner | 363L00000X | 3017577 | KY |
Addresses
Primary practice location
12 Sunshine LN
Scottsville, KY 42164-7962
Mailing address
12 Sunshine LN
Scottsville, KY 42164-7962
Phone (904) 598-4622
Other providers in Scottsville, KY
- Amy Katherine Groves
- William Harston Jr.
- Katie Ellen Hart
- Casey L Hatcher
- Timothy John Hausl
- Kanissa E. Hildreth
- Hilltop Family Dental Care, PSC
- Kelly Steven Holman
- April B. Hoskins
- Hospital Care Consultants, Inc.
All providers in Scottsville, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.