Individual provider Active NPI

Nicholas Todd Noble, PA

  • Physician Assistant
  • Hazard, KY
National Provider Identifier
1831843770
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC354 Issued in KY
Practice address
101 Town and Country LN
Hazard, KY 41701-9524
Phone
(606) 439-1300
Fax
(606) 439-1400
NPI assigned
Feb 9, 2022
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TC354 KY Primary

Addresses

Primary practice location

101 Town and Country LN
Hazard, KY 41701-9524

Mailing address

PO Box 1988
Hazard, KY 41702-1988
Phone (606) 439-1300

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
I20230406001393 KY Practitioner - Physician Assistant 8527433424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Town and Country LN
Suite 100
Hazard, KY 41701-9524
Phone (606) 439-1300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TC354KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Centers of Eastern Kentucky, LLC Current Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC Current Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC CurrentSince Jan 26, 2023 Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC Current Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC Past Accepting new patients

Locations

101 Town and Country Ln
#100
Hazard, KY 41701
Phone (606) 439-1300

145 Citizens Ln
Ste B
Hazard, KY 41701
Phone (606) 439-1300

425 Hindman Byp
Hindman, KY 41822
Phone (606) 785-1300

21992 Main St
Hyden, KY 41749
Phone (606) 672-5200

47 Highway 119 S
Ste 3
Whitesburg, KY 41858
Phone (606) 403-0001

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCJFBA

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1831843770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1988",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417021988",
            "telephone_number": "606-439-1300",
            "fax_number": "606-439-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWN AND COUNTRY LN",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019524",
            "telephone_number": "606-439-1300",
            "fax_number": "606-439-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "NICHOLAS",
        "middle_name": "TODD",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-09",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.