Active NPI
Kristin Whipple, APRN, CNM, IBCLC
- Advanced Practice Midwife
- Mayfield, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM08303
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
1111 Medical Ctr Cir
Mayfield, KY 42066-1194
Phone (270) 251-4045
Hospital & facility affiliations
- Jackson Purchase Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-141917 | KY | MD | Lactation Consultant (Registered Nurse) |
| CNM08303 | KY | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinelake Physician Practice, LLC | Current | Accepting new patients | |
| Pinelake Physician Practice, LLC | Current | Accepting new patients | |
| Pinelake Physician Practice LLC | Current | 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
- 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.
-
- Rural Health Clinic/Center
- Clinton, KY
- NPI 1437614633
-
- Rural Health Clinic/Center
- Mayfield, KY
- NPI 1841900347
-
- Internal Medicine Physician
- Mayfield, KY
- NPI 1861563439
Lactation Consultant
-
- Rural Health Clinic/Center
- Mayfield, KY
- NPI 1093609612
-
- Rural Health Clinic/Center
- Hickman, KY
- NPI 1205494085
-
- Rural Health Clinic/Center
- Mayfield, KY
- NPI 1922645134
-
- Rural Health Clinic/Center
- Fulton, KY
- NPI 1437623337
-
- Rural Acute Care Hospital
- Mayfield, KY
- NPI 1891892741
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.