Individual provider Active NPI

Vivian Renee Hill

  • Psychiatric/Mental Health Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1912567066
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3013449 Issued in KY
Practice address
121 Bishop St
Corbin, KY 40701-1702
Phone
(606) 528-2124
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3013449 KY Primary

Addresses

Primary practice location

121 Bishop St
Corbin, KY 40701-1702

Mailing address

1019 Cumberland Falls Hwy Ste B201
Corbin, KY 40701-2793

Other practice location 1

1419 Cumberland Falls Hwy
Corbin, KY 40701-2722
Phone (606) 528-4481

Other practice location 2

313 S Cherry St
Pineville, KY 40977-1724
Phone (606) 654-3338

Other practice location 3

21154 Highway 421
Hyden, KY 41749-8553
Phone (606) 672-1208

Other practice location 4

39 Cumberland Gap Plz
Gray, KY 40734-4536
Phone (606) 526-9005

Other practice location 5

1019 Cumberland Falls Hwy Ste D141
Corbin, KY 40701-2796
Phone (606) 528-5527

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
I20190729001335 KY Practitioner - Nurse Practitioner 9133455173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14662 N US Hwy 25 E
Corbin, KY 40701-6425
Phone (606) 526-9005

313 S Cherry St
Pineville, KY 40977-1724
Phone (606) 654-3338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Community Health Center, Inc. CurrentSince Jun 24, 2019 Accepting new patients
Grace Community Health Center, Inc. CurrentSince Jun 24, 2019 Accepting new patients

Locations

121 Bishop St
Corbin, KY 40701
Phone (606) 258-8837

14662 N US Highway 25 E
Corbin, KY 40701
Phone (606) 526-9005

1019 Cumberland Falls Hwy
Ste D141
Corbin, KY 40701
Phone (606) 528-5527

1419 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 528-4481

1019 Cumberland Falls Hwy
Ste B201
Corbin, KY 40701

39 Cumberland Gap Plz
Gray, KY 40734
Phone (606) 526-9005

21154 Highway 421
Ste 1
Hyden, KY 41749

21154 Highway 421
Hyden, KY 41749
Phone (606) 672-1208

272 London Mountain View Dr
London, KY 40741
Phone (606) 231-2614

934 S Laurel Rd
Ste 1
London, KY 40744
Phone (606) 526-8604

85 Highway 80
Manchester, KY 40962
Phone (606) 596-0410

313 S Cherry St
Pineville, KY 40977
Phone (606) 654-3338

49 W Sycamore St
Williamsburg, KY 40769
Phone (606) 400-6362

Interoperability endpoints

  • Direct secure messaging: vhill704382@direct.ochin.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1912567066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 CUMBERLAND FALLS HWY STE B201",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BISHOP ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011702",
            "telephone_number": "606-528-2124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1419 Cumberland Falls Hwy",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407012722",
            "country_code": "US",
            "telephone_number": "606-528-4481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 S Cherry St",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "KY",
            "postal_code": "409771724",
            "country_code": "US",
            "telephone_number": "606-654-3338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21154 Highway 421",
            "address_purpose": "LOCATION",
            "city": "Hyden",
            "state": "KY",
            "postal_code": "417498553",
            "country_code": "US",
            "telephone_number": "606-672-1208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 Cumberland Gap Plz",
            "address_purpose": "LOCATION",
            "city": "Gray",
            "state": "KY",
            "postal_code": "407344536",
            "country_code": "US",
            "telephone_number": "606-526-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1019 Cumberland Falls Hwy Ste D141",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407012796",
            "country_code": "US",
            "telephone_number": "606-528-5527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "VIVIAN",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3013449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.