Individual provider Active NPI

Kathy J Noyes, DNP, APRN

  • Family Nurse Practitioner
  • Hebron, KY
National Provider Identifier
1902803901
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3002302 Issued in KY
Practice address
1503 Jolee Drive
Hebron, KY 41048
Phone
(513) 314-4806
Fax
(859) 586-5924
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NP-02608 OH
Acute Care Nurse Practitioner 363LA2100X 3002302 KY
Family Nurse Practitioner 363LF0000X 3002302 KY Primary

Addresses

Primary practice location

1503 Jolee Drive
Hebron, KY 41048

Mailing address

1503 Jolee Drive
Hebron, KY 41048
Phone (513) 314-4806

Other practice location 1

1515 Cavalry Drive
Suite 102
Florence, KY 41042
Phone (859) 717-9772

Other identifiers 3

IdentifierTypeStateIssuer
2180410MedicaidOH
78004595MedicaidKY
0534801OtherKYMEDICARE

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
I20110601000411 KY Practitioner - Nurse Practitioner 3476654146 Practice locations: Hebron, KY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-02608OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Diagnostic Center, LLC Current Accepting new patients
Comprehensive Cardiology Cons Inc Past Accepting new patients
Dr. Thomas C. Noyes, PHD PastSince Jan 1, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1902803901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 JOLEE DRIVE",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "41048",
            "telephone_number": "513-314-4806",
            "fax_number": "859-586-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 JOLEE DRIVE",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "41048",
            "telephone_number": "513-314-4806",
            "fax_number": "859-586-5924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Cavalry Drive",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "41042",
            "country_code": "US",
            "telephone_number": "859-717-9772",
            "fax_number": "859-817-9885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOYES",
        "first_name": "KATHY",
        "middle_name": "J",
        "credential": "DNP, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "NP-02608",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3002302",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3002302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2180410",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78004595",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0534801",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, KY

Sources for this page

Verify at the official NPI Registry.