Individual provider Active NPI

Melanie Popp Ward, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1659658326
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007216 Issued in KY
Practice address
2801 Palumbo Dr
Suite 200
Lexington, KY 40509-1317
Phone
(859) 278-8772
Fax
(859) 276-3565
NPI assigned
Nov 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3007216 KY Primary

Addresses

Primary practice location

2801 Palumbo Dr
Suite 200
Lexington, KY 40509-1317

Mailing address

1055 Wellington Way
Suite 275
Lexington, KY 40513-1259
Phone (859) 219-2828

Other names 1

  • Melanie Carole Popp Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160225000503 KY Practitioner - Nurse Practitioner 9234434465 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3007216KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Feb 23, 2016 Accepting new patients

Locations

106 Market Place Cir
Georgetown, KY 40324
Phone (502) 868-6736

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1659658326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 WELLINGTON WAY",
            "address_2": "SUITE 275",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131259",
            "telephone_number": "859-219-2828",
            "fax_number": "859-219-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PALUMBO DR",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091317",
            "telephone_number": "859-278-8772",
            "fax_number": "859-276-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "MELANIE",
        "middle_name": "POPP",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "POPP",
            "middle_name": "CAROLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.