Individual provider Active NPI

Krystal M. Rice, APRN

  • Pediatric Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1770736878
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3005854 Issued in KY
Practice address
210 East Gray Street
Ste 1000
Louisville, KY 40202-3906
Phone
(502) 629-8830
Fax
(502) 629-7540
NPI assigned
Nov 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 3005854 KY Primary

Addresses

Primary practice location

210 East Gray Street
Ste 1000
Louisville, KY 40202-3906

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 629-8830

Other practice location 1

1050 E Market St Ste 101
Louisville, KY 40206-1874
Phone (502) 588-8900

Other identifiers 2

IdentifierTypeStateIssuer
7100071660MedicaidKY
200942430MedicaidIN

Other names 1

  • Krystal M. Hinkle Former name

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
I20090512000223 KY Practitioner - Nurse Practitioner 5193873727 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC CurrentSince Oct 1, 2021 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Oct 1, 2021 Accepting new patients
Norton Children'S Medical Group, LLC Pediatrics Current Accepting new patients
Home of the Innocents Pediatrics Past Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics Past Accepting new patients

Locations

1100 E Market St
Louisville, KY 40206
Phone (502) 596-1000

1050 E Market St
Ste 1
Louisville, KY 40206
Phone (502) 588-8905

1050 E Market St
Ste 101
Louisville, KY 40206
Phone (502) 588-8900

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

Interoperability endpoints

  • Direct secure messaging: krice47077@direct.nortonhealthcare.org

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": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1770736878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-629-8830",
            "fax_number": "502-629-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 EAST GRAY STREET",
            "address_2": "STE 1000",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023906",
            "telephone_number": "502-629-8830",
            "fax_number": "502-629-7540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 E Market St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402061874",
            "country_code": "US",
            "telephone_number": "502-588-8900",
            "fax_number": "502-596-1413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "KRYSTAL",
        "middle_name": "M.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3005854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100071660",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200942430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "HINKLE",
            "middle_name": "M.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.