Individual provider Active NPI

Bridget Ann Nally

  • Family Nurse Practitioner
  • Bardstown, KY
National Provider Identifier
1851835854
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010746 Issued in KY
Practice address
301 Wildcat LN
Bardstown, KY 40004-9076
Phone
(844) 435-0900
Fax
(888) 423-5216
NPI assigned
Dec 9, 2016
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010746 KY Primary

Addresses

Primary practice location

301 Wildcat LN
Bardstown, KY 40004-9076

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655

Other identifiers 1

IdentifierTypeStateIssuer
7100437510MedicaidKY

Other names 1

  • Bridget Ann Hughes Former name

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
I20170125002980 KY Practitioner - Nurse Practitioner 3375825482 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3010746KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Family Medical Center Inc CurrentSince Sep 11, 2018 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Sep 11, 2018 Accepting new patients
Cumberland Family Medical Center Inc Past Accepting new patients

Locations

301 Wildcat Ln
Bardstown, KY 40004
Phone (502) 349-7040

420 N 5th St
Bardstown, KY 40004
Phone (502) 331-8801

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

300 W US Highway 150 Byp
Springfield, KY 40069
Phone (859) 336-5475

601 Lincoln Park Rd
Springfield, KY 40069
Phone (859) 336-5490

603 Lincoln Park Rd
Springfield, KY 40069
Phone (859) 336-5483

5658 Highway 433
Willisburg, KY 40078
Phone (859) 375-4038

Organizations & group practices 3

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": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1851835854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-858-6655",
            "fax_number": "270-858-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WILDCAT LN",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400049076",
            "telephone_number": "844-435-0900",
            "fax_number": "888-423-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLY",
        "first_name": "BRIDGET",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100437510",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "HUGHES",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.