Individual provider Active NPI

Kristinalin Caldwell, ARNP

  • Family Nurse Practitioner
  • Berea, KY
National Provider Identifier
1841295060
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3240P Issued in KY
Practice address
305 Estill St
Berea, KY 40403-1742
Phone
(859) 986-6527
Fax
(859) 986-7355
NPI assigned
Jun 15, 2005
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 3003240 KY
Nurse Practitioner 363L00000X 3003240P KY
Family Nurse Practitioner 363LF0000X 3240P KY Primary

Addresses

Primary practice location

305 Estill St
Berea, KY 40403-1742

Mailing address

305 Estill St
Berea, KY 40403-1742
Phone (859) 986-6527

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
I20041027000479 KY Practitioner - Nurse Practitioner 6406818053 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone (859) 967-5000

225 Falcon Dr
Mount Sterling, KY 40353-9792
Phone (859) 497-5000

305 Estill St
Berea, KY 40403-1742
Phone (859) 386-9151

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3003240KYMDPediatrics Physician
3003240PKYMDNurse Practitioner
3240PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Kentucky, PSC Nurse Practitioner CurrentSince Jan 1, 2021 Accepting new patients
Davanand Doodnauth,M.D., PSC Nurse Practitioner CurrentSince Feb 1, 2021 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Mar 14, 2009 Accepting new patients
Children's Care, PLLC Pediatrics Past Accepting new patients
Keightley & Parsley P S C Nurse Practitioner Past Accepting new patients
Herbert W Long Past Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

3300 Tates Creek Rd
Lexington, KY 40502
Phone (859) 266-2126

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

1250 Keene Rd
Nicholasville, KY 40356
Phone (859) 881-4288

Organizations & group practices 7

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 1

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1841295060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ESTILL ST",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031742",
            "telephone_number": "859-986-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ESTILL ST",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031742",
            "telephone_number": "859-986-6527",
            "fax_number": "859-986-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "KRISTINALIN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "3003240",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003240P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3240P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.