Individual provider Active NPI

Kimberly Ann Langford, APRN

  • Family Nurse Practitioner
  • Stanford, KY
National Provider Identifier
1790399236
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015103 Issued in KY
Practice address
135 Wade Owens Road
Stanford, KY 40484
Phone
(606) 669-6006
Fax
(606) 661-0141
NPI assigned
Sep 2, 2020
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 57107 KY
Family Nurse Practitioner 363LF0000X 3015103 KY Primary

Addresses

Primary practice location

135 Wade Owens Road
Stanford, KY 40484

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655

Other practice location 1

90 Stonegate Ctr
Somerset, KY 42501-6212
Phone (606) 451-4425

Other identifiers 2

IdentifierTypeStateIssuer
14968533OtherKYCAQH
7100695460MedicaidKY

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
I20201008002108 KY Practitioner - Nurse Practitioner 6103246301 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

360 Keen St
Burkesville, KY 42717-7915
Phone (270) 864-2889

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3015103KYMDFamily Nurse Practitioner
57107KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Oct 22, 2021 Accepting new patients
Somerset Medical Group PLLC CurrentSince Feb 1, 2021 Accepting new patients
Cumberland Family Medical Center Inc Current Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Jun 28, 2024 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Jun 28, 2024 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince May 18, 2025 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Jul 28, 2024 Accepting new patients
Cumberland Family Medical Center Inc Past Accepting new patients

Locations

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

1 Trillium Way
Lowr
Corbin, KY 40701
Phone (606) 523-5150

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

10 Tower Cir
Somerset, KY 42503
Phone (606) 425-4895

90 Stonegate Ctr
Somerset, KY 42501
Phone (606) 451-4425

135 Wade Owens Rd N
Stanford, KY 40484
Phone (606) 669-6006

Interoperability endpoints

  • Direct secure messaging: kimberly.langford@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1790399236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-858-6655",
            "fax_number": "270-858-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WADE OWENS ROAD",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "40484",
            "telephone_number": "606-669-6006",
            "fax_number": "606-661-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Stonegate Ctr",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425016212",
            "country_code": "US",
            "telephone_number": "606-451-4425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGFORD",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2024-07-22",
        "certification_date": "2020-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "57107",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14968533",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100695460",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, KY

Sources for this page

Verify at the official NPI Registry.