Individual provider Active NPI

Kayla Johnson Kuzma, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1942793096
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012298 Issued in KY
Practice address
2530 Scottsville Rd Ste 112
Bowling Green, KY 42104-6508
Phone
(270) 904-9120
NPI assigned
Jun 13, 2018
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012298 KY Primary

Addresses

Primary practice location

2530 Scottsville Rd Ste 112
Bowling Green, KY 42104-6508

Mailing address

5164 Plano Rd
Bowling Green, KY 42104-7490

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
I20180917001735 KY Practitioner - Nurse Practitioner 8527319482

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3012298KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zipclinic, PSC CurrentSince Jul 17, 2018 Accepting new patients
CG Medical Associates Inc Past Accepting new patients

Locations

2508 Scottsville Rd
Ste 104
Bowling Green, KY 42104
Phone (270) 746-6330

651 US 31W Byp
Bowling Green, KY 42101
Phone (270) 495-0440

Interoperability endpoints

  • Direct secure messaging: kkuzma@directaddress.net

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, 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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1942793096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5164 PLANO RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 SCOTTSVILLE RD STE 112",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046508",
            "telephone_number": "270-904-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZMA",
        "first_name": "KAYLA",
        "middle_name": "JOHNSON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.