Beth Ellen Killian is a Nurse Practitioner practicing in Winchester, Kentucky. The National Provider Identifier (NPI) is #1659336923, which was assigned on April 19, 2006, and the registration record was last updated on August 6, 2019. The practitioner's main practice location is at 475 Shoppers Dr, Winchester, KY 40391-1380; the contact telephone number is 8597445111, and the fax number is 8597441177. The primary taxonomy of Beth Ellen Killian is Nurse Practitioner (363L00000X). Beth Ellen Killian is licensed to practice in the state of Kentucky (#3003665).
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
| NPI | 1659336923 |
| Entity Type | Individual |
| Provider Name | BETH ELLEN KILLIAN |
| Other Name |
BETH ELLEN DAVIS (Former Name) |
| Gender | Female |
| Credential | APRN |
| Other Credential | APRN |
| Practice Address |
475 Shoppers Dr Winchester KY 40391-1380 |
| Practice Telephone | 8597445111 |
| Practice Fax Number | 8597441177 |
| Mailing Address |
Po Box 936 London KY 40743-0936 |
| Mailing Telephone | 6063307818 |
| Mailing Fax Number | 6063307825 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2019-08-06 |
| Is Sole Proprietor | N |
| PAC ID |
4385740513 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | BETH E KILLIAN |
| Primary Specialty | NURSE PRACTITIONER |
| Organization Legal Name | KENTUCKYONE HEALTH MEDICAL GROUP INC |
| Address |
475 Shoppers Dr Winchester KY 40391-1380 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3003665 | KY |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 6400 | KY | GROUP MEDICARE # | Other |
| 78901261 | KY | MEDICAID | |
| 78008265 | KY | MEDICAID |
| Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| Classification | Nurse Practitioner |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
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|---|---|---|---|
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| Tara Brewer | 359 Meandering Dr, Lebanon, TN 37090-1559 | Nurse Practitioner | 2025-01-11 |
| Kara Dennison | 155 Little East Fork Rd, Louisa, KY 41230-7113 | Nurse Practitioner | 2025-01-10 |
| Tori Ellen Michelle Fell | 11111 Nall Ave Ste 103, Leawood, KS 66211-1625 | Nurse Practitioner | 2025-01-10 |
| Magdalena Johnson | 7786 S Cicero Ave, Burbank, IL 60459-1583 | Nurse Practitioner | 2025-01-11 |
| Delaney Snyder | 630 N Main St, Columbiana, OH 44408-1037 | Nurse Practitioner | 2025-01-10 |
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| Street Address |
475 SHOPPERS DR |
| City | WINCHESTER |
| State | KY |
| Zip Code | 40391-1380 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Angela D. Wood | 475 Shoppers Dr, Winchester, KY 40391-1380 | Family Nurse Practitioner | 2006-05-25 |
| Eastern Kentucky Recovery, LLC | 475 Shoppers Dr, Winchester, KY 40391-1380 | Addiction Medicine (Family Medicine) Physician | 2018-06-21 |
| Amiee Spence | 475 Shoppers Dr, Winchester, KY 40391-1380 | Counselor | 2021-09-09 |
| Winchester Medical Associates, LLC · Nurse Practitioner Group | 475 Shoppers Dr, Winchester, KY 40391-1380 | Family Nurse Practitioner | 2007-09-17 |
| Winchester Medical Associates, LLC | 475 Shoppers Dr, Winchester, KY 40391-1380 | Internal Medicine Physician | 2006-05-19 |
| Eric W. Bradburn | 475 Shoppers Dr, Winchester, KY 40391-1380 | Pediatrics Physician | 2006-05-25 |
| Edward Allen Sizemore | 475 Shoppers Dr, Winchester, KY 40391-1380 | Family Nurse Practitioner | 2009-10-29 |
| Jamie G. Bradburn | 475 Shoppers Dr, Winchester, KY 40391-1380 | Pediatric Nurse Practitioner | 2006-05-18 |
| Rachel Decoster | 475 Shoppers Dr, Winchester, KY 40391-1380 | Family Nurse Practitioner | 2014-08-04 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Hospice East Inc | 407 Shoppers Dr, Winchester, KY 40391-1380 | Community Based Hospice Care Agency | 2006-03-23 |
| Regina Ann Prewitt | 407 Shoppers Dr, Winchester, KY 40391-1380 | Family Nurse Practitioner | 2016-09-19 |
| Lauren Kaye Holton | 407 Shoppers Dr, Winchester, KY 40391-1380 | Family Nurse Practitioner | 2016-03-17 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Yvonne Marie Pendleton | 126 Professional Ave., Winchester, KY 40391 | Massage Therapist | 2010-04-29 |
| Tena Hoffman Powe | 198 Redwing Drive, Winchester, KY 40391 | General Practice Dentistry | 2006-12-18 |
| Rankin Douglas Skinner | 726 Boonesboro Plaza, Winchester, KY 40391 | General Practice Dentistry | 2008-05-14 |
| Sharrock Strength and Rehab LLC · Resilience Physical Therapy | 1932 Bypass Road, Winchester, KY 40391 | Physical Therapist | 2018-04-11 |
| Jacqueline M Thiry · Jacquline Marie Hoesel | 218 S. Maple St., Winchester, KY 40391 | Physician Assistant | 2017-12-20 |
| Winchester Open Mri | 475 Shoppers Village Drive, Winchester, KY 40391 | Diagnostic Radiology Physician | 2007-04-02 |
| Walgreen Co · Walgreens #17138 | 104 Pedro Way, Winchester, KY 40391 | Durable Medical Equipment & Medical Supplies | 2017-07-19 |
| Dustin Cundiff | 1300 West Lexington Ave, Winchester, KY 40391 | Student in an Organized Health Care Education/Training Program | 2020-04-03 |
| Winchester Senior Partners, LLC | 2101 Boonesboro Road, Winchester, KY 40391 | Assisted Living Facility | 2021-03-02 |
| Rebecca J Ashton | 225 Hospital Drive Bldg B Suite 255, Winchester, KY 40391 | Obstetrics & Gynecology Physician | 2016-06-15 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Beth Ellen Frost | Hq101 University of Kentucky, 800 Rose Street, Lexington, KY 40536-0288 | Student in an Organized Health Care Education/Training Program | 2012-04-28 |
| Beth Ellen Ratliff · Beth Corazzi | 697 Pro-Med Ln, Carmel, IN 46032-5323 | Case Manager/Care Coordinator | 2019-11-11 |
| Ellen Beth Katzer | 1340 Braddock Pl, Alexandria, VA 22314-1693 | School Social Worker | 2018-04-10 |
| Beth Ellen Jordan · Beth Ellen Pendergast | 750 Broadway Ave E, Mattoon, IL 61938-4610 | Mental Health Counselor | 2019-04-08 |
| Beth Ellen Davidoff · Beth Ellen Breakstone | 9 Ashton Ln, Hightstown, NJ 08520-3055 | Speech-Language Pathologist | 2010-10-14 |
| Beth Ellen Dodge | 5225 Old Orchard Rd, Suite18, Skokie, IL 60077-4405 | Occupational Therapist | 2006-09-15 |
| Beth Ellen Wagner · Beth Ellen Bourne | 800 West Ave S, La Crosse, WI 54601-8806 | Obstetrics & Gynecology Physician | 2015-06-01 |
| Beth Ellen Kopitzke | 6001 Alderson St, Schofield, WI 54476-3614 | Occupational Therapy Assistant | 2008-07-30 |
| Ellen Beth Siegel | 187 Mount Auburn St, Cambridge, MA 02138-4863 | Psychologist | 2006-11-09 |
| Ellen Beth Ronka | 216 Lafayette Rd, Suite 206, North Hampton, NH 03862-2445 | Mental Health Counselor | 2007-04-25 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |