Individual provider Active NPI

Kristin Whipple, APRN, CNM, IBCLC

  • Advanced Practice Midwife
  • Mayfield, KY
National Provider Identifier
1679046239
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM08303 Issued in KY
Practice address
1111 Medical Center Cir
Mayfield, KY 42066-1194
Phone
(270) 251-4543
NPI assigned
Jan 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM08303 KY Primary
Lactation Consultant (Registered Nurse) 163WL0100X L-141917 KY

Addresses

Primary practice location

1111 Medical Center Cir
Mayfield, KY 42066-1194

Mailing address

1111 Medical Center Cir
Mayfield, KY 42066-1194

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230301000383 KY Practitioner - Certified Nurse Midwife (CNM) 5991178543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinelake Physician Practice LLC 45 clinicians

Practice addresses (Care Compare)

1111 Medical Ctr Cir
Mayfield, KY 42066-1194
Phone (270) 251-4045

Hospital & facility affiliations

  • Jackson Purchase Medical Center Hospital, Mayfield, KY, CCN 180116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
L-141917KYMDLactation Consultant (Registered Nurse)
CNM08303KYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Pinelake Physician Practice, LLC CurrentSince Apr 1, 2023 Accepting new patients
Pinelake Physician Practice, LLC Current Accepting new patients
Pinelake Physician Practice LLC CurrentSince Apr 1, 2023 Accepting new patients
Pinelake Physician Practice, LLC Lactation Consultant Past Accepting new patients
Pinelake Regional Hospital LLC Past Accepting new patients

Locations

1111 Medical Center Cir
Mayfield, KY 42066
Phone (270) 247-8100

1029 Medical Center Cir
Ste 401
Mayfield, KY 42066
Phone (270) 251-4590

1111 Medical Center Cir
Ste 1
Mayfield, KY 42066

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: kristin.whipple.1@19475.direct.athenahealth.com

Organizations & group practices 9

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": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1679046239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER CIR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER CIR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661194",
            "telephone_number": "270-251-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "KRISTIN",
        "credential": "APRN, CNM, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2023-02-06",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KY",
            "license": "CNM08303",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "KY",
            "license": "L-141917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

Verify at the official NPI Registry.