Mary Kathleen Nelms, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

3008015 Issued in KY

Practice address

1945 Highland Pike
Suite 1
Ft Wright, KY 41017-8127

Phone

(859) 331-4005

Fax

(859) 331-4606

NPI assigned

Apr 15, 2013

Last updated

Apr 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mary.nelms.ppnky@direct.cps.nextgenshare.com

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.

• Pediatric Partners of Northern Kentucky

  • Pediatrics Physician
  • Ft Wright, KY
  • NPI 1336209865
  NPD (past)
• Pediatric Partners of Northern Kentucky

  • Pediatric Nurse Practitioner
  • Ft Wright, KY
  • NPI 1679270128

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1922441427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 HIGHLAND PIKE",
            "address_2": "SUITE 1",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410178127",
            "telephone_number": "859-331-4005",
            "fax_number": "859-331-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 HIGHLAND PIKE",
            "address_2": "SUITE 1",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410178127",
            "telephone_number": "859-331-4005",
            "fax_number": "859-331-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELMS",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3008015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleesha M Montoya, MD
• Stacey J Moore, ARNP
• Steven Barrett Moore II, DMD
• Mary Elizabeth Mueller, DDS
• Thomas B. Mueller, D.M.D
• Northern Ky Chiropractic Spine & Injury Center LLC
• Allison O'Conner, MSN, APRN, FNP-C
• Michael Jeffrey Oehler, MD
• Orthocincy Orthopaedics & Sports Medicine
• Elizabeth Ann Papas

• Pediatric Nurse Practitioner in Ft Wright, KY
• Providers in Ft Wright, KY by specialty
• Pediatric Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.