Individual provider Active NPI

Judith Waldine Hatch, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1770899387
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3008397 Issued in KY
Practice address
1 Trillium Way
Corbin, KY 40701-8727
Phone
(606) 523-8779
Fax
(606) 523-8721
NPI assigned
Aug 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5004847 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3008397 KY Primary

Addresses

Primary practice location

1 Trillium Way
Corbin, KY 40701-8727

Mailing address

2700 Stanley Gault Pkwy Ste 129
Louisville, KY 40223-5176
Phone (502) 253-4966

Other identifiers 3

IdentifierTypeStateIssuer
7100273870MedicaidKY
7004560MedicaidNC
P01458976OtherKYRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhatch7119@bhkydirect.com

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
I20140127000162 KY Practitioner - Nurse Practitioner 1951593581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

602 Knox St
Barbourville, KY 40906-1304
Phone (606) 546-6027

789 Eastern Bypass
Suite 23
Richmond, KY 40475-2421
Phone (606) 523-8521

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5004847NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Carolina Comprehensive Psychiatric Services, PLLC PastSince Aug 1, 2006 Accepting new patients

Locations

602 Knox St
Barbourville, KY 40906
Phone (606) 546-6027

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

96 Future Dr
Corbin, KY 40701

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

1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100

1700 Nicholasville Rd
Ste 1100
Lexington, KY 40503
Phone (859) 260-6856

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

789 Eastern Byp
Ste 23
Richmond, KY 40475
Phone (859) 544-8171

Organizations & group practices 4

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": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1770899387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 STANLEY GAULT PKWY STE 129",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235176",
            "telephone_number": "502-253-4966",
            "fax_number": "502-458-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRILLIUM WAY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018727",
            "telephone_number": "606-523-8779",
            "fax_number": "606-523-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCH",
        "first_name": "JUDITH",
        "middle_name": "WALDINE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5004847",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3008397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100273870",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004560",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01458976",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhatch7119@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1700 Nicholasville Rd Ste 1100",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405031466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.