Individual provider Active NPI

Amy D Hirby, APRN

  • Family Nurse Practitioner
  • Bardstown, KY
National Provider Identifier
1710313523
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008279 Issued in KY
Practice address
114 Manor Ave
Bardstown, KY 40004-3230
Phone
(502) 349-9999
Fax
(502) 349-9499
NPI assigned
Sep 25, 2013
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 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 3008279 KY Primary

Addresses

Primary practice location

114 Manor Ave
Bardstown, KY 40004-3230

Mailing address

114 Manor Ave
Bardstown, KY 40004-3230
Phone (502) 349-9999

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
I20170807000493 KY Practitioner - Nurse Practitioner 2769753920 Reassigns benefits to 3 organizations

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
Associates in Dermatology, PLLCGroup PAC ID 1658263876, 37 clinicians

Practice addresses (Care Compare)

3810 Springhurst Blvd
Louisville, KY 40241-6162
Phone (502) 583-1749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008279KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalskin Medical Group Il PLLC CurrentSince Jul 1, 2022 Accepting new patients
Community Medical Associates, Inc. Family CurrentSince Aug 14, 2017 Accepting new patients
Vitalskin Medical Group Il PLLC CurrentSince Jul 1, 2022 Accepting new patients
Associates in Dermatology, PLLC CurrentSince Feb 1, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 14, 2017 Accepting new patients

Locations

114 Manor Ave
Bardstown, KY 40004
Phone (217) 729-7868

700 Portland Ave
Ste B
Bardstown, KY 40004
Phone (270) 234-6695

506 S Main St
Leitchfield, KY 42754
Phone (270) 200-1095

3810 Springhurst Blvd
Louisville, KY 40241
Phone (502) 322-1954

3810 Springhurst Blvd
Ste 200
Louisville, KY 40241
Phone (317) 780-7400

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

9336 Cedar Center Way
Louisville, KY 40291
Phone 50242616211212

130 Stonecrest Rd
Ste 104
Shelbyville, KY 40065
Phone (502) 633-3338

Interoperability endpoints

  • Direct secure messaging: ahirby@vitalskinderm.emadirect.md
  • Direct secure messaging: ahirby129897@direct.nortonhealthcare.org
  • Direct secure messaging: akirby@assocderm.emadirect.md

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1710313523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MANOR AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400043230",
            "telephone_number": "502-349-9999",
            "fax_number": "502-349-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MANOR AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400043230",
            "telephone_number": "502-349-9999",
            "fax_number": "502-349-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRBY",
        "first_name": "AMY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.