Mary Kristen Jo Conner, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4033989 Issued in KY

Practice address

1025 New Moody LN
La Grange, KY 40031-9154

Phone

(502) 222-5388

NPI assigned

Feb 24, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1811793425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 CHERRY GLEN DR",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400316968",
            "telephone_number": "502-741-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 NEW MOODY LN",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319154",
            "telephone_number": "502-222-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "MARY",
        "middle_name": "KRISTEN JO",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4033989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KBN LICENSE NUMBER",
            "identifier": "4033989",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent Devin Clark
• Ashli N Collins, M.D.
• Jenna Collins
• William Brent Colwick, M.A., LPCC
• Community NP,LLC
• Jessica Elizabeth Cook, MSOT, OTR/L
• Darryl Copeland, OTR/L
• Russell Hendren Cotton III, PA
• Bradford Lee Cottrell, M.D.
• Jennifer Ann Coulter, LCSW

• Nurse Practitioner in La Grange, KY
• Providers in La Grange, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.