Individual provider Active NPI

Daesha Mashea Hamilton, APRN

  • Family Nurse Practitioner
  • Pikeville, KY
National Provider Identifier
1679288492
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018870 Issued in KY
Practice address
9613 Millard Hwy
Pikeville, KY 41501-8162
Phone
(606) 552-0400
NPI assigned
Jan 16, 2023
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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 3018870 KY Primary

Addresses

Primary practice location

9613 Millard Hwy
Pikeville, KY 41501-8162

Mailing address

9613 Millard Hwy
Pikeville, KY 41501-8162
Phone (606) 552-0400

Other practice location 1

1520 Slate Creek Rd Ste 201
Grundy, VA 24614-6975
Phone (276) 242-2001

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
I20230208001209 KY Practitioner - Nurse Practitioner 5991177503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians

Practice addresses (Care Compare)

9613 Millard Hwy
Pikeville, KY 41501-8162
Phone (606) 552-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Jan 1, 2023 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Oct 16, 2023 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Jan 1, 2023 Accepting new patients
Ohio Valley Physicians Inc Family CurrentSince Oct 16, 2023 Accepting new patients

Locations

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

108 W Madison St
Ste A
Louisa, KY 41230
Phone (606) 638-0341

108 W Madison St
Ste B
Louisa, KY 41230
Phone (606) 826-0341

115 Lee Ave
#101
Pikeville, KY 41501
Phone (606) 727-5296

59 Thacker Rd
Pikeville, KY 41501
Phone (606) 552-0400

9613 Millard Hwy
Pikeville, KY 41501
Phone (606) 552-0400

1520 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-2148

1520 Slate Creek Rd
Ste 201
Grundy, VA 24614
Phone (276) 242-2001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1679288492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 MILLARD HWY",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415018162",
            "telephone_number": "606-552-0400",
            "fax_number": "606-754-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 MILLARD HWY",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415018162",
            "telephone_number": "606-552-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Slate Creek Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Grundy",
            "state": "VA",
            "postal_code": "246146975",
            "country_code": "US",
            "telephone_number": "276-242-2001",
            "fax_number": "276-242-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "DAESHA",
        "middle_name": "MASHEA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.