Individual provider Active NPI

Brittany Lauren Petty, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Georgetown, KY
National Provider Identifier
1770288169
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4000557 Issued in KY
Practice address
1138 Lexington Rd Ste 230a
Georgetown, KY 40324-9672
Phone
(502) 570-3721
NPI assigned
Apr 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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 4000557 KY Primary

Addresses

Primary practice location

1138 Lexington Rd Ste 230a
Georgetown, KY 40324-9672

Mailing address

138 Falls Creek Dr
Georgetown, KY 40324-7009
Phone (859) 533-4847

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
I20230427002106 KY Practitioner - Nurse Practitioner 6608231576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1 Trillium Way
Suite 111
Corbin, KY 40701-8426
Phone (859) 639-1210

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4000557KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 3, 2024 Accepting new patients
Kentucky Mso LLC CurrentSince Apr 1, 2023 Accepting new patients
Kentucky Mso LLC Family CurrentSince Apr 1, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 3, 2024 Accepting new patients

Locations

1 Trillium Way
Ste 111
Corbin, KY 40701
Phone (606) 523-8770

1138 Lexington Rd
Ste 230
Georgetown, KY 40324
Phone (502) 867-3303

1138 Lexington Rd
Ste 230A
Georgetown, KY 40324
Phone (502) 570-3721

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

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

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.

Hospital & facility affiliations 1

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": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1770288169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 FALLS CREEK DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403247009",
            "telephone_number": "859-533-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 LEXINGTON RD STE 230A",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249672",
            "telephone_number": "502-570-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "BRITTANY",
        "middle_name": "LAUREN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4000557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.