Individual provider Active NPI

Kristen N Evans, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1710266630
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007014 Issued in KY
Practice address
171 N Eagle Creek Dr Ste 106
Lexington, KY 40509-1801
Phone
(859) 277-9112
Fax
(859) 277-7105
NPI assigned
Aug 9, 2011
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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 3007014 KY Primary

Addresses

Primary practice location

171 N Eagle Creek Dr Ste 106
Lexington, KY 40509-1801

Mailing address

171 N Eagle Creek Dr Ste 106
Lexington, KY 40509-1801
Phone (859) 277-9112

Other identifiers 1

IdentifierTypeStateIssuer
7100249550MedicaidKY

Other names 1

  • Kristen Nichole Kirchbaum Former name

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
I20130828000476 KY Practitioner - Nurse Practitioner 4284877986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Associates, P. S. CGroup PAC ID 6305873951, 2 clinicians

Practice addresses (Care Compare)

171 N Eagle Creek Dr
Suite 106
Lexington, KY 40509-1801
Phone (859) 277-9112

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Associates, P. S. C CurrentSince Sep 19, 2022 Accepting new patients

Locations

171 N Eagle Creek Dr
Ste 106
Lexington, KY 40509
Phone (606) 277-9112

Organizations & group practices 2

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": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1710266630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 N EAGLE CREEK DR STE 106",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091801",
            "telephone_number": "859-277-9112",
            "fax_number": "859-277-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 N EAGLE CREEK DR STE 106",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091801",
            "telephone_number": "859-277-9112",
            "fax_number": "859-277-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KRISTEN",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100249550",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "KIRCHBAUM",
            "middle_name": "NICHOLE",
            "credential": "APRN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.