Individual provider Active NPI

Tracie Lynn Parrish, APRN

  • Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1689063349
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3009055 Issued in KY
Practice address
60 S Stewart Rd
Corbin, KY 40701-4675
Phone
(606) 528-9770
Fax
(606) 528-9769
NPI assigned
Jan 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3009055 KY Primary

Addresses

Primary practice location

60 S Stewart Rd
Corbin, KY 40701-4675

Mailing address

4071 Tates Creek Centre Dr
202
Lexington, KY 40517-3062
Phone (859) 971-4665

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
I20150603003116 KY Practitioner - Nurse Practitioner 1850612755 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

305 Medpark Dr
Somerset, KY 42503-2816
Phone (606) 678-9617

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3009055KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Physician Practices LLC Nurse Practitioner CurrentSince May 20, 2024 Accepting new patients
Russell County Hospital CurrentSince Aug 15, 2015 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Oct 5, 2022 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Oct 1, 2022 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Sep 15, 2025 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Oct 1, 2022 Accepting new patients
Russell County Hospital Current Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Brock Medical, LLC Nurse Practitioner CurrentSince Oct 5, 2022 Accepting new patients
Lake Cumberland Physician Practices LLC Nurse Practitioner CurrentSince May 20, 2024 Accepting new patients
Russell County Hospital Nurse Practitioner CurrentSince Aug 15, 2015 Accepting new patients
Lake Cumberland Physician Practices, LLC Nurse Practitioner Current Accepting new patients
Lake Cumberland Surgery Center LP Past Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients

Locations

796 W Broadway St
Campbellsville, KY 42718
Phone (270) 572-4933

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

805 S Lincoln Blvd
Hodgenville, KY 42748

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

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

153 Dowell Rd
Russell Springs, KY 42642
Phone (270) 866-4141

92 Joe T Petty Dr
Ste 500
Russell Springs, KY 42642
Phone (270) 866-9333

305 Medpark Dr
Somerset, KY 42503
Phone (606) 263-2912

75 Hail Knob Rd
Somerset, KY 42503
Phone (606) 678-9617

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644

Interoperability endpoints

  • FHIR API: https://97465a19-0dc7-4ef3-9aea-f72e472d3305.gastro.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: tracie.parrish.1@21269.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1689063349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 TATES CREEK CENTRE DR",
            "address_2": "202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173062",
            "telephone_number": "859-971-4665",
            "fax_number": "859-971-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S STEWART RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407014675",
            "telephone_number": "606-528-9770",
            "fax_number": "606-528-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "TRACIE",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.