Individual provider Active NPI

Karla Irene Sizemore

  • Family Nurse Practitioner
  • Manchester, KY
National Provider Identifier
1659809473
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011339 Issued in KY
Practice address
56 Marie Langdon Dr
Manchester, KY 40962-6329
Phone
(606) 599-4080
Fax
(606) 598-1688
NPI assigned
May 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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 3011339 KY Primary

Addresses

Primary practice location

56 Marie Langdon Dr
Manchester, KY 40962-6329

Mailing address

509 Memorial Dr Ste 2
Manchester, KY 40962-6196
Phone (606) 598-5107

Other practice location 1

210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104

Other practice location 2

1380 Highway 192 E
London, KY 40741-3123
Phone (606) 330-0050

Other practice location 3

140 Newcomb Ave
Mount Vernon, KY 40456-2725
Phone (606) 256-4148

Other identifiers 2

IdentifierTypeStateIssuer
14000573OtherCAQH
7100470380MedicaidKY

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
I20200203001449 KY Practitioner - Nurse Practitioner 3173959558 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital, Inc.Group PAC ID 4486616141, shared by 9 NPIs, 60 clinicians

Practice addresses (Care Compare)

102 Professional Dr
Suite 2
London, KY 40741-8857
Phone (606) 878-9611

241 Main St S
MC Kee, KY 40447-7081
Phone (606) 287-3444

Hospital & facility affiliations

  • AdventHealthManchester Hospital, Manchester, KY, CCN 180043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital, Inc. CurrentSince Feb 2, 2020 Accepting new patients
Memorial Hospital, Inc. Family Current Accepting new patients
Good Heart Corporation CurrentSince Nov 23, 2019 Accepting new patients
Memorial Hospital Inc. Family CurrentSince Feb 1, 2020 Accepting new patients

Locations

1380 Highway 192 E
London, KY 40741
Phone (606) 330-0050

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

509 Memorial Dr
Ste 2
Manchester, KY 40962
Phone (606) 598-4384

1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163

140 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-3232

53 Queendale Ctr
Red Bird, KY 40913
Phone (606) 598-5135

Interoperability endpoints

  • Direct secure messaging: ksizemore659260@adventhealth.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1659809473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MEMORIAL DR STE 2",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626196",
            "telephone_number": "606-598-5107",
            "fax_number": "606-598-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MARIE LANGDON DR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626329",
            "telephone_number": "606-599-4080",
            "fax_number": "606-598-1688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Marie Langdon Dr",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "KY",
            "postal_code": "409626388",
            "country_code": "US",
            "telephone_number": "606-598-5104",
            "fax_number": "606-598-0983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 Highway 192 E",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407413123",
            "country_code": "US",
            "telephone_number": "606-330-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Newcomb Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "KY",
            "postal_code": "404562725",
            "country_code": "US",
            "telephone_number": "606-256-4148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "KARLA",
        "middle_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14000573",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100470380",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, KY

Sources for this page

Verify at the official NPI Registry.