Individual provider Active NPI

Kristin Utley Daniels, PHARMD

  • Pharmacist
  • Flatwoods, KY
National Provider Identifier
1710533872
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
015348 Issued in KY
Practice address
903 Bellefonte Rd Ste a
Flatwoods, KY 41139-2005
Phone
(606) 836-4313
Fax
(606) 217-6464
NPI assigned
Aug 14, 2019
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 015348 KY Primary

Addresses

Primary practice location

903 Bellefonte Rd Ste a
Flatwoods, KY 41139-2005

Mailing address

PO Box 701
Flatwoods, KY 41139-0701
Phone (606) 836-4313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
015348KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Whitesville D S Inc CurrentSince Aug 18, 2019 Accepting new patients

Locations

903 Bellefonte Rd
#A
Flatwoods, KY 41139
Phone (606) 254-5464

Organizations & group practices 1

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": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1710533872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411390701",
            "telephone_number": "606-836-4313",
            "fax_number": "606-217-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 BELLEFONTE RD STE A",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411392005",
            "telephone_number": "606-836-4313",
            "fax_number": "606-217-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "KRISTIN",
        "middle_name": "UTLEY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "015348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flatwoods, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.