Active NPI
Kimberly Renee Hayes, PA
- Medical Physician Assistant
- Frankfort, KY
National Provider Identifier
1972508638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA626
- Practice address
- 4 HMB Cir
Frankfort, KY 40601-5376 - Phone
- (502) 223-5811
- Fax
- (502) 227-7379
- NPI assigned
- Jun 17, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA626 | KY | Primary |
Addresses
Primary practice location
4 HMB Cir
Frankfort, KY 40601-5376
Mailing address
PO Box 4168
Frankfort, KY 40604-4168
Phone (502) 223-5811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95002325 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA626 | KY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Obstetrics & Gynecology | Past | Accepting new patients | |
| Kentucky Medical Services Foundation, Inc | Past | Accepting new patients | |
| North Lexington Urgent Treatment Associates PSC | Medical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Georgetown, KY
- NPI 1114054269
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1396724092
Medical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200873600000",
"number": "1972508638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4168",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406044168",
"telephone_number": "502-223-5811",
"fax_number": "502-227-7379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 HMB CIR",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406015376",
"telephone_number": "502-223-5811",
"fax_number": "502-227-7379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "KIMBERLY",
"middle_name": "RENEE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-17",
"last_updated": "2008-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KY",
"license": "PA626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95002325",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frankfort, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.