Katie Ellen Hart, AGPCNP-BC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

3017750 Issued in KY

Practice address

1070 Smith Grove Rd
Scottsville, KY 42164-9444

Phone

(270) 239-6024

Fax

(270) 239-6099

NPI assigned

May 27, 2022

Last updated

May 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Premise Health of Tennessee Medical PC

  dba Smucker Scottsville Health Center

  • Multi-Specialty Clinic/Center
  • Scottsville, KY
  • NPI 1669010112
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1811635923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112B HIGH RIDGE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174052",
            "telephone_number": "270-589-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 SMITH GROVE RD",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421649444",
            "telephone_number": "270-239-6024",
            "fax_number": "270-239-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "KATIE",
        "middle_name": "ELLEN",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "KY",
            "license": "3017750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KBN",
            "identifier": "3017750",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "katie.hart@premisehealth.com",
            "affiliation": "N",
            "endpointDescription": "Company E-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Emails",
            "address_1": "1070 Smith Grove Rd",
            "city": "Scottsville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421649444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tovara Gray
• Tyler Grenier, RN
• McKenzie Grissom, MD
• Amy Katherine Groves, PTA
• William Harston Jr., M.D.
• Casey L Hatcher, APRN
• Timothy John Hausl, DC
• Gradaphene I Hayden, FNP-C
• Kanissa E. Hildreth, DPT
• Hilltop Family Dental Care, PSC

• Adult Medicine Physician in Scottsville, KY
• Providers in Scottsville, KY by specialty
• Adult Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.