Active NPI
Keisha L Snow, APRN
- Family Nurse Practitioner
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3008354
- Practice address
- 2605 Kentucky Ave Ste 602
Paducah, KY 42003-3806 - Phone
- (270) 442-4830
- Fax
- (270) 442-7667
- NPI assigned
- Oct 25, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3008354 | KY | Primary |
Addresses
Primary practice location
2605 Kentucky Ave Ste 602
Paducah, KY 42003-3806
Mailing address
2700 Stanley Gault Pkwy Ste 129
Louisville, KY 40223-5176
Phone (502) 253-4900
Other practice location 1
1532 Lone Oak Rd
Suite 245
Paducah, KY 42003-7913
Phone (270) 538-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100277910 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ksnow8858@bhkydirect.com |
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2605 Kentucky Ave
Suite 602
Paducah, KY 42003-3806
Phone (270) 442-4830
Hospital & facility affiliations
- Baptist Health Paducah
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3008354 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Past | Accepting new patients | |
| Baptist Community Health Services Inc | Family | Past | Accepting new patients |
Locations
2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
2605 Kentucky Ave
Ste 103
Paducah, KY 42003
Phone (270) 442-9461
2605 Kentucky Ave
Ste 602
Paducah, KY 42003
Phone (270) 442-4830
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.
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
-
- Rural Health Clinic/Center
- Powderly, KY
- NPI 1598966269
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1023275500
Family
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1700214947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 STANLEY GAULT PKWY STE 129",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235176",
"telephone_number": "502-253-4900",
"fax_number": "502-489-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 KENTUCKY AVE STE 602",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420033806",
"telephone_number": "270-442-4830",
"fax_number": "270-442-7667"
}
],
"practiceLocations": [
{
"address_1": "1532 Lone Oak Rd",
"address_2": "Suite 245",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420037913",
"country_code": "US",
"telephone_number": "270-538-5700",
"fax_number": "270-538-5701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNOW",
"first_name": "KEISHA",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-25",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3008354",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100277910",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ksnow8858@bhkydirect.com",
"affiliation": "N",
"address_1": "2605 Kentucky Ave Ste 602",
"city": "Paducah",
"state": "KY",
"country_code": "US",
"postal_code": "420033806",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.