Individual provider Active NPI

Hilary A. Vandiver, APRN

  • Family Nurse Practitioner
  • Powderly, KY
National Provider Identifier
1700386398
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011960 Issued in KY
Practice address
2025 W Everly Brothers Blvd
Powderly, KY 42367-5401
Phone
(270) 377-2600
Fax
(270) 377-2610
NPI assigned
Feb 20, 2018
Last updated
Nov 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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 3011960 KY Primary

Addresses

Primary practice location

2025 W Everly Brothers Blvd
Powderly, KY 42367-5401

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

2200 E Parrish Ave Ste 201
Owensboro, KY 42303-1449
Phone (270) 926-3700

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hvandiver86239@direct.owensborohealth.org
Direct Messaging Address hvandiver86239@direct.owensborohealth.org

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
I20180322001254 KY Practitioner - Nurse Practitioner 0345502795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2025 W Everly Brothers Blvd
Suite 1a
Powderly, KY 42367-5401
Phone (270) 377-2600

2211 Mayfair Dr
Owensboro, KY 42301-4569

910 Wallace Ave
Leitchfield, KY 42754-2418

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3011960KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc Family CurrentSince Mar 12, 2018 Accepting new patients
Owensboro Health Medical Group, Inc. Family CurrentSince Mar 12, 2018 Accepting new patients
Owensboro Health Medical Group, Inc Family Past Accepting new patients
Owensboro Health Medical Group, Inc. Family PastSince Nov 27, 2022 Accepting new patients

Locations

1301 Pleasant Valley Rd
Ste 300
Owensboro, KY 42303
Phone (270) 417-7700

2200 E Parrish Ave
Ste 201
Owensboro, KY 42303
Phone (270) 688-1670

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

Interoperability endpoints

  • Direct secure messaging: hvandiver86239@direct.owensborohealth.org

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

Hospital & facility affiliations 1

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1700386398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 W EVERLY BROTHERS BLVD",
            "city": "POWDERLY",
            "state": "KY",
            "postal_code": "423675401",
            "telephone_number": "270-377-2600",
            "fax_number": "270-377-2610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E Parrish Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423031449",
            "country_code": "US",
            "telephone_number": "270-926-3700",
            "fax_number": "270-926-0368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDIVER",
        "first_name": "HILARY",
        "middle_name": "A.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hvandiver86239@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "2025 W Everly Brothers Blvd",
            "city": "Powderly",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423675401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hvandiver86239@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "2200 E Parrish Ave Ste 201",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423031449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Powderly, KY

Sources for this page

Verify at the official NPI Registry.