DR. KIERSTEN PROCTOR (NPI# 1295333219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295333219 |
| Entity Type | Individual |
| Full Name | DR. KIERSTEN PROCTOR |
| Credential | DNP, APRN, FNP-C |
| Practice Address |
20 Medical Village Dr Ste 102 Edgewood KY 41017-3490 |
| Practice Telephone | 8593411011 |
| Practice Fax Number | 8583417198 |
| Mailing Telephone | 8593411011 |
| Mailing Fax Number | 8583417198 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3015161 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20 MEDICAL VILLAGE DR STE 102 |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-3490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598381048 | Temitayo Bosede Olaniyi | Nurse Practitioner | 2203 Philadelphia Rd, Edgewood, MD 21040-1109 | 2020-06-21 |
| 1306264296 | Frederick H Blodgett | Nurse Practitioner | 7 Municpal Way, Edgewood, NM 87015-7086 | 2014-03-28 |
| 1194154823 | Vivienne Prinz | Nurse Practitioner | 104 Quail Trl, Unit B, Edgewood, NM 87015-7185 | 2013-11-04 |
| 1932277514 | Beth B Vanairsdale | Nurse Practitioner | 521 Gerhard Dr, Edgewood, KY 41017-3284 | 2006-12-01 |
| 1811969165 | Shannon E Phillips Jr. | Nurse Practitioner | 116 N. Houston St., Edgewood, TX 75117 | 2006-02-02 |
| 1831198126 | Laura M Greene | Nurse Practitioner | 483 S Loop Rd, Edgewood, KY 41017-5446 | 2005-07-19 |
| 1386251957 | Cierra Dorado | Nurse Practitioner | 104 Quail Trl, Edgewood, NM 87015-7185 | 2020-09-28 |
| 1164037784 | Elizabeth Spray | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-09-10 |
| 1205459369 | Thu Thanh Nguyen | Nurse Practitioner | 104 Quail Trail, Unit B, Edgewood, NM 87015 | 2020-05-24 |
| 1295385870 | Joan Kariuki | Nurse Practitioner | 1952 Pulaski Hwy, Edgewood, MD 21040-1658 | 2019-09-16 |
| Find all providers in EDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.