1346623303 NPI number — KATHRYN NESBITT APRN

Table of content: KATHRYN NESBITT APRN (NPI 1346623303)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346623303 NPI number — KATHRYN NESBITT APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NESBITT
Provider First Name:
KATHRYN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APRN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346623303
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/16/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3324 FOX FIRE CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOWLING GREEN
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42101-1220
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-745-9930
Provider Business Mailing Address Fax Number:
270-599-0030

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3324 FOX FIRE CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOWLING GREEN
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42101-1220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-745-9930
Provider Business Practice Location Address Fax Number:
270-599-0030
Provider Enumeration Date:
07/08/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  3009541 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LP0808X , with the licence number: 5774 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: RN2389702 . This is a "CNP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 3009541 . This is a "APRN LICENSE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: L80010435 . This is a "PSYCHNP" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: CNP221429 . This is a "CNP" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 1010136448 . This is a "APRN" identifier , issued by the state of ( VT ) . This identifiers is of the category "OTHER".
  • Identifier: APRN11022845 . This is a "APRN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 5774 . This is a "CERTIFIED NURSE PRACTITIONER" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 403489 . This is a "NPP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 5378141061 . This is a "APRN" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 113956 . This is a "APRN" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: APRNCNP0032391 . This is a "CNP" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: SP031480 . This is a "CRNP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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