Individual provider Active NPI

Kristi Hawkins Hall, PAC

  • Physician Assistant
  • Versailles, KY
National Provider Identifier
1992801864
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA346 Issued in KY
Practice address
360 Amsden Ave
Suite 202
Versailles, KY 40383-1851
Phone
(859) 873-9188
Fax
(859) 873-0870
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA346 KY Primary

Addresses

Primary practice location

360 Amsden Ave
Suite 202
Versailles, KY 40383-1851

Mailing address

360 Amsden Ave
Suite 202
Versailles, KY 40383-1851
Phone (859) 873-9188

Other identifiers 1

IdentifierTypeStateIssuer
95001111MedicaidKY

Other names 1

  • Kristi Lynn Hawkins Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Lexington Urgent Treatment Associates PSC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1992801864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 AMSDEN AVE",
            "address_2": "SUITE 202",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831851",
            "telephone_number": "859-873-9188",
            "fax_number": "859-873-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 AMSDEN AVE",
            "address_2": "SUITE 202",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831851",
            "telephone_number": "859-873-9188",
            "fax_number": "859-873-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KRISTI",
        "middle_name": "HAWKINS",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95001111",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "HAWKINS",
            "middle_name": "LYNN",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Versailles, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.