Active NPI
Angela B Grubbs, APRN
- Family Nurse Practitioner
- Lexington, KY
National Provider Identifier
1942544689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3007586
- Practice address
- 751 Rose St
Room 501E3
Lexington, KY 40536-0232 - Phone
- (859) 323-6605
- Fax
- (606) 323-1357
- NPI assigned
- Nov 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3007586 | KY | |
| Family Nurse Practitioner | 363LF0000X | 3007586 | KY | Primary |
Addresses
Primary practice location
751 Rose St
Room 501E3
Lexington, KY 40536-0232
Mailing address
751 Rose St
Room 501E3
Lexington, KY 40536-0232
Phone (859) 323-6605
Other names 1
- Angela Ballard
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3007586 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| University of Kentucky | Past | Accepting new patients |
Locations
3615 E John Rowan Blvd
Ste 104
Bardstown, KY 40004
Phone (502) 331-4734
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
Interoperability endpoints
- agrubbs22935@ukhcdirect.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
Nurse Practitioner
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Psychiatric Hospital Unit
- Lexington, KY
- NPI 1821130741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1942544689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 ROSE ST",
"address_2": "ROOM 501E3",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360232",
"telephone_number": "859-323-6605",
"fax_number": "606-323-1357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 ROSE ST",
"address_2": "ROOM 501E3",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360232",
"telephone_number": "859-323-6605",
"fax_number": "606-323-1357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBBS",
"first_name": "ANGELA",
"middle_name": "B",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-19",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3007586",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3007586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "BALLARD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.