Individual provider Active NPI

Courtney Reed, APRN

  • Nurse Practitioner
  • Winchester, KY
National Provider Identifier
1740738616
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1117541 Issued in KY
Practice address
1520 Boonesboro Rd
Winchester, KY 40391-8816
Phone
(859) 744-0067
Fax
(859) 744-0042
NPI assigned
Sep 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1117541 KY Primary

Addresses

Primary practice location

1520 Boonesboro Rd
Winchester, KY 40391-8816

Mailing address

1520 Boonesboro Rd
Winchester, KY 40391-8816
Phone (859) 744-0067

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
I20170207003002 KY Practitioner - Nurse Practitioner 4385927896 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1117541KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Hospital, LLC Nurse Practitioner CurrentSince Jan 9, 2017 Accepting new patients
Kentucky Hospital LLC CurrentSince Jan 9, 2017 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Nov 22, 2016 Accepting new patients
Clark Regional Physician Practices, LLC Nurse Practitioner CurrentSince Nov 22, 2016 Accepting new patients
Mt. Sterling Pediatrics PSC Past Accepting new patients

Locations

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

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

1520 Boonesboro Rd
Winchester, KY 40391
Phone (859) 744-0067

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1740738616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 BOONESBORO RD",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403918816",
            "telephone_number": "859-744-0067",
            "fax_number": "859-744-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 BOONESBORO RD",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403918816",
            "telephone_number": "859-744-0067",
            "fax_number": "859-744-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "COURTNEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "1117541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.