Individual provider Active NPI

Joshua Fraley, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1912686510
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4004544 Issued in KY
Practice address
576 E Third St Ste 170
Lexington, KY 40508-2251
Phone
(859) 288-2425
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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 4004544 KY Primary

Addresses

Primary practice location

576 E Third St Ste 170
Lexington, KY 40508-2251

Mailing address

496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2425

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
I20230907000751 KY Practitioner - Nurse Practitioner 3173987336 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthfirst Bluegrass Inc CurrentSince Aug 7, 2023 Accepting new patients
Healthfirst Bluegrass Inc. CurrentSince Aug 7, 2023 Accepting new patients

Locations

555 E Fifth St
Lexington, KY 40508
Phone (859) 252-2371

122 Arceme Ave
Lexington, KY 40505

161 Bruce St
Lexington, KY 40507
Phone (859) 381-3418

1113 Centre Pkwy
Lexington, KY 40517
Phone (859) 381-3606

707 Howard St
Lexington, KY 40508
Phone (859) 381-3263

576 E Third St
Lexington, KY 40508

496 Southland Dr
Lexington, KY 40503
Phone (859) 288-2392

551 Parkside Dr
Lexington, KY 40505
Phone (859) 381-3512

2101 Saint Mathilda Dr
Lexington, KY 40502
Phone (859) 381-3273

350 N Limestone
Lexington, KY 40508
Phone (859) 381-3192

1111 Centre Pkwy
Lexington, KY 40517

218 Mandalay Rd
Lexington, KY 40504
Phone (859) 381-3340

576 E Third St
Ste 170
Lexington, KY 40508
Phone (859) 288-2478

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": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1912686510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 SOUTHLAND DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031827",
            "telephone_number": "859-288-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 E THIRD ST STE 170",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082251",
            "telephone_number": "859-288-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRALEY",
        "first_name": "JOSHUA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4004544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.