INGRID MEDLEY ARNP NPI 1952357774

NPI Information

NPI: 1952357774
Provider Name: INGRID MEDLEY, ARNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
151 DREXLER CIR
STE 1
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 506-2730
Get Directions

Ingrid Medley, ARNP is a psychiatric/mental health nurse practitioner in Elizabethtown, KY with 28 years of experience. Ingrid Medley, ARNP NPI is 1952357774. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

151 DREXLER CIR
STE 1
ELIZABETHTOWN, KY
ZIP 42701-843
Phone: (270) 506-2730
Fax: (270) 900-0704

The NPI 1952357774 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 1/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2641S	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0359042	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	MEDICARE
2	30605018	MEDICAID	KENTUCKY
3	0026689	MEDICARE ID-TYPE UNSPECIFIED
4	P15767	MEDICARE UPIN
5	0358842	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	MEDICARE
6	0359239	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	MEDICARE
7	11386453	OTHER		CAQH
8	0358641	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	MEDICARE
9	0358740	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	MEDICARE
10	0762251	MEDICARE PIN	KENTUCKY
11	341184	OTHER	KENTUCKY	TRICARE
12	0358941	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	MEDICARE
13	000000174962	OTHER	KENTUCKY	ANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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