Individual provider Active NPI

Amy L Corbett, PMHNP-BC, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bardstown, KY
National Provider Identifier
1811407000
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3011763 Issued in KY
Practice address
1013 Granite Dr
Bardstown, KY 40004-2013
Phone
(502) 349-3100
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3011763 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3011763 KY Primary

Addresses

Primary practice location

1013 Granite Dr
Bardstown, KY 40004-2013

Mailing address

312 W High St
Lebanon, KY 40033-1428
Phone (270) 321-4510

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
I20180427002313 KY Practitioner - Nurse Practitioner 1759645799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Behavioral Health PLLCGroup PAC ID 2668757774, 3 clinicians

Practice addresses (Care Compare)

110 Helm St
Elizabethtown, KY 42701-1413
Phone (270) 506-2967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3011763KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Astra Behavioral Health LLC Psychiatric/Mental Health CurrentSince May 1, 2018 Accepting new patients

Locations

1013 Granite Dr
Bardstown, KY 40004
Phone (270) 506-2730

129 Parkway Dr
Bardstown, KY 40004
Phone (502) 233-9696

Organizations & group practices 2

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": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1811407000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W HIGH ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331428",
            "telephone_number": "270-321-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 GRANITE DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042013",
            "telephone_number": "502-349-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "PMHNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3011763",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3011763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.