Individual provider Active NPI

Katherine Kubarek, APRN-BC

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1679941165
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009724 Issued in KY
Practice address
2700 Old Rosebud Rd
110
Lexington, KY 40509-8623
Phone
(859) 264-1141
Fax
(859) 264-1963
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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 3009724 KY Primary

Addresses

Primary practice location

2700 Old Rosebud Rd
110
Lexington, KY 40509-8623

Mailing address

2700 Old Rosebud Rd
110
Lexington, KY 40509-8623
Phone (859) 264-1141

Other identifiers 1

IdentifierTypeStateIssuer
7100433470MedicaidKY

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
I20170302000678 KY Practitioner - Nurse Practitioner 0446534804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Leider MD PLLCGroup PAC ID 0941469621, 19 clinicians

Practice addresses (Care Compare)

35 Augusta Ave
Ft Wright, KY 41011-3603
Phone 24852821166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Leider MD PLLC Family CurrentSince Mar 1, 2024 Accepting new patients
Jeffrey Leider MD PLLC CurrentSince Mar 1, 2024 Accepting new patients
Lexington Podiatry PSC CurrentSince Apr 28, 2024 Accepting new patients
Extended Care Specialists, Inc Family CurrentSince Dec 1, 2023 Accepting new patients
Home Medical Visits, Inc Family PastSince May 1, 2021 Accepting new patients

Locations

2700 Old Rosebud Rd
Ste 110
Lexington, KY 40509
Phone (859) 257-6200

2700 Old Rosebud Rd
Ste 250
Lexington, KY 40509
Phone (859) 264-1141

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

Organizations & group practices 5

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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1679941165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 OLD ROSEBUD RD",
            "address_2": "110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098623",
            "telephone_number": "859-264-1141",
            "fax_number": "859-264-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 OLD ROSEBUD RD",
            "address_2": "110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098623",
            "telephone_number": "859-264-1141",
            "fax_number": "859-264-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBAREK",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100433470",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.