Active NPI
Dana Nichole Parker-Kist, APRN
- Family Nurse Practitioner
- Edgewood, KY
National Provider Identifier
1982126843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3010870
- Practice address
- 4123 Olympic Blvd Ste 150
Edgewood, KY 41018-3508 - Phone
- (859) 301-2999
- Fax
- (859) 301-2997
- NPI assigned
- Jul 12, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3010870 | KY | Primary |
Addresses
Primary practice location
4123 Olympic Blvd Ste 150
Edgewood, KY 41018-3508
Mailing address
200 Medical Village Dr
Edgewood, KY 41017-3408
Phone (859) 301-2999
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3010870 | KY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1982126843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MEDICAL VILLAGE DR",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410173408",
"telephone_number": "859-301-2999",
"fax_number": "859-301-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4123 OLYMPIC BLVD STE 150",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410183508",
"telephone_number": "859-301-2999",
"fax_number": "859-301-2997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER-KIST",
"first_name": "DANA",
"middle_name": "NICHOLE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2022-07-21",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3010870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.