NPIMap

Individual provider Active NPI

Erin Deal

  • Family Nurse Practitioner
  • Henderson, KY
National Provider Identifier
1851986277
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016950 Issued in KY
Practice address
4 Phillips CT
Henderson, KY 42420-4314
Phone
(270) 399-6501
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1148794 KY
Family Nurse Practitioner 363LF0000X 3016950 KY Primary

Addresses

Primary practice location

4 Phillips CT
Henderson, KY 42420-4314

Mailing address

4 Phillips CT
Henderson, KY 42420
Phone (270) 399-6501

Other identifiers 2

IdentifierTypeStateIssuer
1148794MedicaidKY
3016950MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220616000686 KY Practitioner - Nurse Practitioner 9436538725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Deaconess Medical Group IncGroup PAC ID 6103220330, 241 clinicians

Practice addresses (Care Compare)

800 Hospital Dr
FL 1
Madisonville, KY 42431-1658
Phone (270) 326-3800

Hospital & facility affiliations

  • Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1148794KYMDRegistered Nurse
3016950KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Care Affiliates Inc CurrentSince May 2, 2022 Accepting new patients
Baptist Health Deaconess Medical Group Inc Family Current Accepting new patients
Regional Health Care Affiliates, Inc. Current Accepting new patients
Regional Health Care Affiliates, Inc. CurrentSince May 2, 2022 Accepting new patients
Baptist Health Deaconess Medical Group Inc Family CurrentSince Sep 1, 2023 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Sep 1, 2023 Accepting new patients

Locations

107 E Main St
Earlington, KY 42410
Phone (270) 383-2521

800 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3800

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

800 Hospital Dr
Fl 1
Madisonville, KY 42431
Phone (270) 326-3800

215 E Main St
Providence, KY 42450
Phone (270) 667-7017

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

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": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1851986277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PHILLIPS CT",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "42420",
            "telephone_number": "270-399-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PHILLIPS CT",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424204314",
            "telephone_number": "270-399-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAL",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1148794",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1148794",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3016950",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.