Individual provider Active NPI

Tria B Kinnard, PA

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1922276427
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA931 Issued in KY
Practice address
800 Rose St
Lexington, KY 40536-0293
Phone
(859) 323-5530
Fax
(859) 257-7706
NPI assigned
Feb 19, 2008
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA931 KY Primary
Medical Physician Assistant 363AM0700X PA931 KY
Surgical Physician Assistant 363AS0400X PA931 KY

Addresses

Primary practice location

800 Rose St
Lexington, KY 40536-0293

Mailing address

800 Rose St
Lexington, KY 40536-7001
Phone (859) 562-5152

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
I20110909002595 KY Practitioner - Physician Assistant 4981874559 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA931KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Health System, Inc. CurrentSince Dec 18, 2024 Accepting new patients
University of Kentucky CurrentSince Aug 1, 2011 Accepting new patients

Locations

170 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 967-5146

2333 Alumni Park Plz
Ste 200
Lexington, KY 40517

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

Interoperability endpoints

  • Direct secure messaging: tkinnard19034@ukhcdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1922276427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405367001",
            "telephone_number": "859-562-5152",
            "fax_number": "859-257-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360293",
            "telephone_number": "859-323-5530",
            "fax_number": "859-257-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNARD",
        "first_name": "TRIA",
        "middle_name": "B",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA931",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA931",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.