Individual provider Active NPI

Christina Polete, APRN

  • Family Nurse Practitioner
  • Hopkinsville, KY
National Provider Identifier
1811305915
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008818 Issued in KY
Practice address
1724 Kenton St
Suite 1B Doctors Pavillion
Hopkinsville, KY 42240-1981
Phone
(270) 886-8840
NPI assigned
Aug 1, 2014
Last updated
Jan 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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 3008818 KY Primary

Addresses

Primary practice location

1724 Kenton St
Suite 1B Doctors Pavillion
Hopkinsville, KY 42240-1981

Mailing address

1724 Kenton St
Suite 1B Doctors Pavillion
Hopkinsville, KY 42240-1981
Phone (270) 839-4472

Other identifiers 1

IdentifierTypeStateIssuer
7100370680MedicaidKY

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
I20150331002808 KY Practitioner - Nurse Practitioner 0941527907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Hopkinsville Family Care PSCGroup PAC ID 1759642432, 3 clinicians

Practice addresses (Care Compare)

1914 S Virginia St
Hopkinsville, KY 42240-3610
Phone (270) 220-0366

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hopkinsville Family Care PSC CurrentSince Mar 1, 2018 Accepting new patients

Locations

1914 S Virginia St
Hopkinsville, KY 42240
Phone (270) 220-0366

Organizations & group practices 1

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 2

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": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1811305915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 KENTON ST",
            "address_2": "SUITE 1B DOCTORS PAVILLION",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401981",
            "telephone_number": "270-839-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 KENTON ST",
            "address_2": "SUITE 1B DOCTORS PAVILLION",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401981",
            "telephone_number": "270-886-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLETE",
        "first_name": "CHRISTINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100370680",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.