Individual provider Active NPI

Katherine Elaine Fletcher, APRN

  • Pediatric Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1932378593
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3005527 Issued in KY
Practice address
1135 Red Mile PL
Lexington, KY 40504-1172
Phone
(859) 288-4081
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 3005527 KY Primary

Addresses

Primary practice location

1135 Red Mile PL
Lexington, KY 40504-1172

Mailing address

370 Cochran Rd
Lexington, KY 40502-2313
Phone (859) 492-5146

Other identifiers 1

IdentifierTypeStateIssuer
7100060610MedicaidKY

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
I20151211001912 KY Practitioner - Nurse Practitioner 8123329315 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3005527KYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Aug 31, 2015 Accepting new patients
University of Kentucky Past Accepting new patients

Locations

1900 Richmond Rd
Lexington, KY 40502
Phone (856) 266-2101

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

1135 Harry Sykes Way
Lexington, KY 40504
Phone (859) 218-2273

Interoperability endpoints

  • Direct secure messaging: kfletcher19918@ukhcdirect.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": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1932378593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 COCHRAN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022313",
            "telephone_number": "859-492-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 RED MILE PL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041172",
            "telephone_number": "859-288-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "KATHERINE",
        "middle_name": "ELAINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3005527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100060610",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.