Individual provider Active NPI

Cody Lind Hambleton, APRN-NA

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1700320389
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3011053 Issued in KY
Practice address
200 Abraham Flexner Way
Anesthesia Department
Louisville, KY 40202-2877
Phone
(502) 587-4404
Fax
(502) 587-4156
NPI assigned
Dec 15, 2016
Last updated
Apr 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3011053 KY Primary
Registered Nurse 163W00000X 1147682 KY

Addresses

Primary practice location

200 Abraham Flexner Way
Anesthesia Department
Louisville, KY 40202-2877

Mailing address

100 E Liberty St
Suite 800 - Business Office
Louisville, KY 40202-1434
Phone (502) 587-4404

Other identifiers 4

IdentifierTypeStateIssuer
300001114-KOHMGMedicaidIN
P01790400-KOHMGOtherKYRR MEDICARE
7100442980 (KOHMG)MedicaidKY
K206980-KOHMGOtherKYMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170216002079 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638452675 Reassigns benefits to 5 organizations
I20210719002893 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638452675 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Louisville Anesthesia Services, PLLCGroup PAC ID 2264410661, 10 clinicians
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians
Ema Anesthesia, PSCGroup PAC ID 7911174552, 9 clinicians

Practice addresses (Care Compare)

1025 New Moody LN
La Grange, KY 40031-9154
Phone (502) 222-5388

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0152

360 Missouri Ave
BLDG 19a
Jeffersonville, IN 47130-3013
Phone (812) 722-1480

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.09 of 100Reported as group
Quality
45.91
Improvement activities
40
Cost
76.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1147682KYMDRegistered Nurse
3011053KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ema Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2023 Accepting new patients
Norton - Kings Daughters Health Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 7, 2021 Accepting new patients
Community Medical Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 13, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Greater Louisville Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2019 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince Dec 7, 2021 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 13, 2025 Accepting new patients
Anesthesia Associates, PSC Nurse Anesthetist, Certified Registered CurrentSince May 8, 2017 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2018 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

360 Missouri Ave
Ste 102
Jeffersonvlle, IN 47130
Phone (502) 364-0902

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

630 Broadway St
Madison, IN 47250
Phone (812) 265-0801

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

101 Financial Pl
Ste B103
Elizabethtown, KY 42701
Phone (270) 307-8177

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

1169 Eastern Pkwy
Ste 400
Louisville, KY 40217
Phone (502) 276-5554

1951 Bishop Ln
Fl 4
Louisville, KY 40218
Phone (502) 272-5165

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

201 Abraham Flexner Way
Ste 100
Louisville, KY 40202
Phone (502) 587-8222

4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 4

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1700320389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST",
            "address_2": "SUITE 800 - BUSINESS OFFICE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021434",
            "telephone_number": "502-587-4404",
            "fax_number": "502-587-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ABRAHAM FLEXNER WAY",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022877",
            "telephone_number": "502-587-4404",
            "fax_number": "502-587-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBLETON",
        "first_name": "CODY",
        "middle_name": "LIND",
        "credential": "APRN-NA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-15",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3011053",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1147682",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300001114-KOHMG",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01790400-KOHMG",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100442980 (KOHMG)",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K206980-KOHMG",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.