Active NPI
Cody Lind Hambleton, APRN-NA
- Certified Registered Nurse Anesthetist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3011053
- 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, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300001114-KOHMG | Medicaid | IN | |
| P01790400-KOHMG | Other | KY | RR MEDICARE |
| 7100442980 (KOHMG) | Medicaid | KY | |
| K206980-KOHMG | Other | KY | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1147682 | KY | MD | Registered Nurse |
| 3011053 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ema Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Norton - Kings Daughters Health Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Community Medical Associates, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Greater Louisville Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Norton - Kings Daughters Health Inc | Current | 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. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Anesthesia Associates, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- La Grange, KY
- NPI 1326126681
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jeffersonville, IN
- NPI 1104102268
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1902991169
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
dba Norton King's Daughters' Health
- Family Medicine Physician
- Madison, IN
- NPI 1114955093
Nurse Anesthetist, Certified Registered
-
dba Norton Anesthesiology
- Anesthesiology Physician
- Louisville, KY
- NPI 1194451179
Nurse Anesthetist, Certified Registered
-
dba Norton Community Medical Associates
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
dba ULP Radiological Associates
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
dba ULP Thoracic Surgery
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Louisville, KY
- NPI 1831531961
-
dba Kings Daughters Health
- Clinical Medical Laboratory
- Madison, IN
- NPI 1497024426
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health La Grange
- General Acute Care Hospital
- La Grange, KY
- NPI 1306925540
-
dba Kings Daughters Health
- Clinical Medical Laboratory
- Madison, IN
- NPI 1497024426
Hospital
-
dba Kings Daughters Health
- Land Ambulance
- Madison, IN
- NPI 1891855045
Hospital
-
dba Kings Daughters Health
- General Acute Care Hospital
- Madison, IN
- NPI 1518916048
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.