Elyse Marie Hardesty, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3012192 Issued in KY

Practice address

700 W Lincoln Trail Blvd
Radcliff, KY 40160-2604

Phone

(270) 351-3192

Fax

(270) 351-5499

NPI assigned

Dec 19, 2018

Last updated

Jan 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1740752450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W LINCOLN TRAIL BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602604",
            "telephone_number": "270-351-3192",
            "fax_number": "270-351-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W LINCOLN TRAIL BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602604",
            "telephone_number": "270-351-3192",
            "fax_number": "270-351-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDESTY",
        "first_name": "ELYSE",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anneliese Mariah Goodman
• Graham Behavioral Health, LLC
• Isabella Graziani
• Guiding Lights PLC (Lincoln Trail Adult Day care)
• Kristopher Hall I
• Hardin Eyewear Inc
• Shameka Ann Hardin, CSW
• Tanner Martin Harp, DMD
• Jordan T Harris, MFTA
• Harvey and Nichols Radcliff PLLC (Harvey and Nichols Radcliff)

• Nurse Practitioner in Radcliff, KY
• Providers in Radcliff, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.