Kathy Justice Wheeler, PHD, CFNP, MSN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3000656 Issued in KY

Practice address

202 Bevins LN
Georgetown, KY 40324-6178

Phone

(859) 323-9333

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Doctor of Philosophy

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.

• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1982788063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BEVINS LN",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246178",
            "telephone_number": "859-323-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BEVINS LN",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246178",
            "telephone_number": "859-323-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "KATHY",
        "middle_name": "JUSTICE",
        "credential": "PHD, CFNP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3000656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7800304300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallorie Weis, APRN
• Erin Weisenbach, M.S.,CCC-SLP
• Kimberly A Wells, PHARMD
• Caresse Lynnette Wesley, D.O.
• Jasmin Wheeler, APRN
• Angela Whitaker, MSSW, LCSW
• Wi-Ky Care, LLC
• Chelsea Suzanne Wilder, LCSW
• Daena C. Wilds, AUD
• Billy Lee Williams, O.D.

• Nurse Practitioner in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.

Verify at the official NPI Registry.