Ellery H. Naghtin, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3009281 Issued in KY

Practice address

310 Hawthorne St
Princeton, KY 42445-1622

Phone

(270) 365-0227

Fax

(270) 365-2559

NPI assigned

Mar 3, 2015

Last updated

May 8, 2015By 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pennyroyal Healthcare Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hopkinsville, KY
  • NPI 1124319942
  Medicare reassignment NPD
• Enhance the Aesthetic & Wellness Co.

  dba Enhance The Co.

  • Primary Care Clinic/Center
  • Hopkinsville, KY
  • NPI 1598383572
  NPD Authorized official
• Pennyroyal Healthcare Services, Inc

  dba Community Dental

  • Federally Qualified Health Center (FQHC)
  • Hopkinsville, KY
  • NPI 1104532332
  NPD
• Kentucky Addiction Centers Paintsville, LLC

  • Family Medicine Physician
  • Paintsville, KY
  • NPI 1922684307
  NPD (past)

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1750773586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4156",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422414156",
            "telephone_number": "270-886-2205",
            "fax_number": "270-886-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HAWTHORNE ST",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424451622",
            "telephone_number": "270-365-0227",
            "fax_number": "270-365-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGHTIN",
        "first_name": "ELLERY",
        "middle_name": "H.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Brown Moller
• Lance Howard Moore, PHARMD
• Amanda Grace Morris
• Stephanie L Mundy, APRN
• Anna Murphy, DNP, APRN, FNP-BC
• Sarena Newberry
• Michelle Lynn Nichols
• Nra-Princeton, Kentucky, LLC (Caldwell County Dialysis Clinic)
• Amber Lynn O'Hearn, FNP-C
• David Lee Oliver, DMD

• Family Nurse Practitioner in Princeton, KY
• Providers in Princeton, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.