NPIMap

Individual provider Active NPI

Kimberley K Privett, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Flemingsburg, KY
National Provider Identifier
1720337967
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007601 Issued in KY
Practice address
732 Elizaville Ave
Flemingsburg, KY 41041-1139
Phone
(606) 849-2323
Fax
(606) 849-2025
NPI assigned
Sep 4, 2012
Last updated
Jan 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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 3007601 KY Primary

Addresses

Primary practice location

732 Elizaville Ave
Flemingsburg, KY 41041-1139

Mailing address

732 Elizaville Ave
P.O. Box 344
Flemingsburg, KY 41041-1139
Phone (606) 849-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121204000045 KY Practitioner - Nurse Practitioner 5991957607 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Mso LLCGroup PAC ID 0749450633, 53 clinicians

Practice addresses (Care Compare)

105 Prather Path
Georgetown, KY 40324-9206

129 Stone Trace Dr
Mt Sterling, KY 40353-9386
Phone (859) 498-6006

175 Hospital Dr
Suite 120
Georgetown, KY 40324
Phone (502) 570-2324

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3007601KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Regional Physician Practices, LLC Family CurrentSince Jan 7, 2014 Accepting new patients
Kentucky Mso LLC Family Current Accepting new patients
Kentucky Mso, LLC Family CurrentSince Aug 26, 2018 Accepting new patients
Kentucky Hospital, LLC CurrentSince Jan 7, 2014 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Jan 7, 2014 Accepting new patients
Kentucky Hospital LLC CurrentSince Jan 7, 2014 Accepting new patients
Kentucky Mso LLC CurrentSince Aug 26, 2018 Accepting new patients
Kentucky Hospital, LLC Past Accepting new patients
Clark Regional Physician Practices LLC Past Accepting new patients
Glenn R. Womack M.D. PSC Past Accepting new patients

Locations

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

129 Stone Trace Dr
Mt Sterling, KY 40353
Phone (859) 498-6006

68 E Elkins St
Stanton, KY 40380
Phone (606) 663-2511

175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500

225 Hospital Dr
Winchester, KY 40391
Phone (859) 737-8528

225 Hospital Dr
Ste 200A
Winchester, KY 40391
Phone (859) 737-6480

Interoperability endpoints

  • Direct secure messaging: kimberley.privett.1@19475.direct.athenahealth.com
  • Direct secure messaging: oik8164@yourcarecommunity.org

Organizations & group practices 10

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 2

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": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1720337967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 ELIZAVILLE AVE",
            "address_2": "P.O. BOX 344",
            "city": "FLEMINGSBURG",
            "state": "KY",
            "postal_code": "410411139",
            "telephone_number": "606-849-2323",
            "fax_number": "606-849-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 ELIZAVILLE AVE",
            "city": "FLEMINGSBURG",
            "state": "KY",
            "postal_code": "410411139",
            "telephone_number": "606-849-2323",
            "fax_number": "606-849-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIVETT",
        "first_name": "KIMBERLEY",
        "middle_name": "K",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemingsburg, KY

Sources for this page

Verify at the official NPI Registry.