Individual provider Active NPI

Amy Dove, APRN

  • Family Nurse Practitioner
  • Nicholasville, KY
National Provider Identifier
1891946125
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3005748 Issued in KY
Practice address
125 S Main St
Nicholasville, KY 40356-1541
Phone
(859) 553-3015
Fax
(859) 900-9112
NPI assigned
Oct 6, 2008
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3005748 KY
Family Nurse Practitioner 363LF0000X 3005748 KY Primary

Addresses

Primary practice location

125 S Main St
Nicholasville, KY 40356-1541

Mailing address

125 S Main St
Nicholasville, KY 40356-1541
Phone (859) 553-3015

Other identifiers 1

IdentifierTypeStateIssuer
7100058150MedicaidKY

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
I20081212000402 KY Practitioner - Nurse Practitioner 4587663539 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 S Main St
Nicholasville, KY 40356-1541
Phone (859) 553-3015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3005748KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Medical Partners, LLC Nurse Practitioner CurrentSince Jan 15, 2014 Accepting new patients
Kentucky Hospital, LLC Nurse Practitioner CurrentSince Sep 23, 2014 Accepting new patients
Kentucky Hospital LLC CurrentSince Sep 23, 2014 Accepting new patients
Omorfia Weight Loss Clinic LLC Family CurrentSince Apr 1, 2025 Accepting new patients

Locations

125 S Main St
Nicholasville, KY 40356
Phone (859) 553-3015

213 S Main St
Ste 202
Nicholasville, KY 40356

175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500

225 Hospital Dr
Ste 200A
Winchester, KY 40391
Phone (859) 737-6480

Organizations & group practices 4

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 5

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": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1891946125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S MAIN ST",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561541",
            "telephone_number": "859-553-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S MAIN ST",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561541",
            "telephone_number": "859-553-3015",
            "fax_number": "859-900-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVE",
        "first_name": "AMY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3005748",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100058150",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.