Individual provider Active NPI

Samantha Corey, APRN

  • Family Nurse Practitioner
  • Barbourville, KY
National Provider Identifier
1699215145
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011120 Issued in KY
Practice address
80 Hospital Dr
Barbourville, KY 40906-7363
Phone
(606) 545-5539
Fax
(606) 545-5572
NPI assigned
Mar 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 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 3011120 KY Primary

Addresses

Primary practice location

80 Hospital Dr
Barbourville, KY 40906-7363

Mailing address

80 Hospital Dr
Barbourville, KY 40906-7363
Phone (606) 545-5539

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
I20170522002085 KY Practitioner - Nurse Practitioner 9032486196 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newborn and Kids Health Center IncGroup PAC ID 0547564775, 3 clinicians

Practice addresses (Care Compare)

215 Treuhaft Blvd
Suite 8
Barbourville, KY 40906-7361
Phone (606) 277-0173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3011120KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Mental Health and Addiction Recovery CurrentSince May 27, 2021 Accepting new patients
Newborn & Kids Health Center, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Royal Treatment Healthcare Inc CurrentSince Oct 30, 2017 Accepting new patients

Locations

215 Treuhaft Blvd
Barbourville, KY 40906
Phone (606) 545-7227

215 Treuhaft Blvd
Ste 8
Barbourville, KY 40906
Phone (606) 277-0173

4671 S US Highway 25E
Bimble, KY 40915
Phone (606) 546-0053

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24154/brand/2/csg/21/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1699215145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HOSPITAL DR",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067363",
            "telephone_number": "606-545-5539",
            "fax_number": "606-545-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HOSPITAL DR",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067363",
            "telephone_number": "606-545-5539",
            "fax_number": "606-545-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREY",
        "first_name": "SAMANTHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barbourville, KY

Sources for this page

Verify at the official NPI Registry.