Individual provider Active NPI

Wanda F France, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Berea, KY
National Provider Identifier
1972701712
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3005495 Issued in KY
Practice address
128 Central Park Ave
Berea, KY 40403-1075
Phone
(606) 312-0569
NPI assigned
Jul 3, 2007
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3005495 KY Primary

Addresses

Primary practice location

128 Central Park Ave
Berea, KY 40403-1075

Mailing address

128 Central Park Ave
Berea, KY 40403-1075
Phone (606) 312-0569

Other identifiers 1

IdentifierTypeStateIssuer
7100133950MedicaidKY

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
I20080327000155 KY Practitioner - Nurse Practitioner 7911083217 Reassigns benefits to 1 organization
Practice locations: Berea, KY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3005495KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PPL Therapeutic Services PLLC CurrentSince Feb 1, 2021 Accepting new patients
Kentucky River Community Care, Inc Psychiatric/Mental Health PastSince Jul 4, 2009 Accepting new patients

Locations

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1972701712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CENTRAL PARK AVE",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031075",
            "telephone_number": "606-312-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CENTRAL PARK AVE",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031075",
            "telephone_number": "606-312-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCE",
        "first_name": "WANDA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3005495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100133950",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.