Individual provider Active NPI

Janice Hedayati, NP

  • Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1861648065
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1082489 Issued in KY
Practice address
1710 Cumberland Falls Hwy
Corbin, KY 40701-2727
Phone
(606) 528-6700
Fax
(606) 528-6513
NPI assigned
Aug 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1082489 KY Primary

Addresses

Primary practice location

1710 Cumberland Falls Hwy
Corbin, KY 40701-2727

Mailing address

1710 Cumberland Falls Hwy
Corbin, KY 40701-2727
Phone (606) 528-6700

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
I20090204000045 KY Practitioner - Nurse Practitioner 4183788219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cumberland Gi, PSCGroup PAC ID 0143291559, 2 clinicians

Practice addresses (Care Compare)

1710 Cumberland Falls Hwy
Corbin, KY 40701-2727
Phone (606) 528-6700

Hospital & facility affiliations

  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1082489KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Gi, PSC Nurse Practitioner CurrentSince May 7, 2014 Accepting new patients
Apogee Medical Group Kentucky PSC Nurse Practitioner PastSince Mar 1, 2010 Accepting new patients

Locations

1710 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 528-6700

Interoperability endpoints

  • Direct secure messaging: jhedayati@cumberlandgi.qrsdm.com

Organizations & group practices 2

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.

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": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1861648065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012727",
            "telephone_number": "606-528-6700",
            "fax_number": "606-528-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012727",
            "telephone_number": "606-528-6700",
            "fax_number": "606-528-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDAYATI",
        "first_name": "JANICE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "1082489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.