Active NPI
Caitlyn Popham, APRN
- Family Nurse Practitioner
- Elizabethtown, KY
National Provider Identifier
1699522045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4021494
- Practice address
- 157 Towne Dr Ste 103
Elizabethtown, KY 42701-8460 - Phone
- (270) 765-5926
- NPI assigned
- May 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1141653 | KY | |
| Family Nurse Practitioner | 363LF0000X | 4021494 | KY | Primary |
Addresses
Primary practice location
157 Towne Dr Ste 103
Elizabethtown, KY 42701-8460
Mailing address
157 Towne Dr Ste 103
Elizabethtown, KY 42701-8460
Phone (270) 765-5926
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2412 Ring Rd
Suite 200
Elizabethtown, KY 42701-5913
Phone (502) 629-2225
Hospital & facility affiliations
- Baptist Health Hardin
- Norton Hospitals, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1141653 | KY | MD | Registered Nurse |
| 4021494 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Family | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Family | Current | Accepting new patients |
| Community Medical Associates, Inc. | Past | Accepting new patients |
Locations
2412 Ring Rd
Ste 200
Elizabethtown, KY 42701
Phone (270) 763-8274
157 Towne Dr
Ste 103
Elizabethtown, KY 42701
Phone (270) 765-5926
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
115 Huston Dr
Ste 1
Shepherdsville, KY 40165
Phone (502) 955-7311
Interoperability endpoints
- cpopham58646@direct.nortonhealthcare.org
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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
Family
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1831195908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1699522045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 TOWNE DR STE 103",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427018460",
"telephone_number": "270-765-5926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 TOWNE DR STE 103",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427018460",
"telephone_number": "270-765-5926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPHAM",
"first_name": "CAITLYN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-03",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1141653",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4021494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.