Individual provider Active NPI

Deanna Kathryn Portwood, FNP-BC

  • Family Nurse Practitioner
  • Barbourville, KY
National Provider Identifier
1679333579
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4017373 Issued in KY
Practice address
315 Hospital Dr
Barbourville, KY 40906-7917
Phone
(606) 546-4060
NPI assigned
Mar 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4017373 KY Primary
Registered Nurse 163W00000X 1164519 KY

Addresses

Primary practice location

315 Hospital Dr
Barbourville, KY 40906-7917

Mailing address

315 Hospital Dr
Barbourville, KY 40906-7917

Other names 1

  • Deanna Kathryn Gray 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
I20241028002649 KY Practitioner - Nurse Practitioner 8224561394 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barbourville Family Health CenterGroup PAC ID 7416867387, 30 clinicians

Practice addresses (Care Compare)

315 Hospital Dr
Suite 2
Barbourville, KY 40906-7917
Phone (606) 546-4060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1164519KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview LLC CurrentSince Jan 30, 2025 Accepting new patients
Signify Health, LLC CurrentSince May 30, 2025 Accepting new patients
Brightview, LLC CurrentSince Jan 30, 2025 Accepting new patients
Barbourville Family Health Center Current Accepting new patients
Barbourville Family Health Center CurrentSince Jul 19, 2025 Accepting new patients
Barbourville Family Health Center Past Accepting new patients

Locations

215 N Allison Ave
Barbourville, KY 40906
Phone (606) 546-4166

315 Hospital Dr
Barbourville, KY 40906
Phone (606) 277-2999

315 Hospital Dr
Ste 2
Barbourville, KY 40906
Phone (606) 546-4060

140 Bryan Blvd
Corbin, KY 40701
Phone (606) 523-2005

2645 N Laurel Rd
#B
London, KY 40741
Phone (502) 749-6249

2645 N Laurel Rd
#A
London, KY 40741

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

506 N Main St
Nicholasville, KY 40356
Phone (859) 887-3712

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 6

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": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1679333579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067917",
            "telephone_number": "606-546-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTWOOD",
        "first_name": "DEANNA",
        "middle_name": "KATHRYN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4017373",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1164519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "GRAY",
            "middle_name": "KATHRYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Barbourville, KY

Sources for this page

Verify at the official NPI Registry.