| Healthfirst Bluegrass Inc | |
|
496 Southland Dr Lexington KY 40503-1827 | |
| (859) 288-2425 | |
| (859) 721-3918 |
| Full Name | Healthfirst Bluegrass Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 496 Southland Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Wayne Linscott (CEO) |
| Authorized Official Contact | 8592882425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthfirst Bluegrass Inc 496 Southland Dr Lexington KY 40503-1827 Ph: (859) 288-2392 | Healthfirst Bluegrass Inc 496 Southland Dr Lexington KY 40503-1827 Ph: (859) 288-2425 |
| NPI Number | 1114932514 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 11/30/2020 |
| Medicare PECOS PAC ID | 5890961593 |
|---|---|
| Medicare Enrollment ID | O20111230000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114932514 | NPI | - | NPPES |
| 31000086 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Maria Kay Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194793760 PECOS PAC ID: 3173564507 Enrollment ID: I20050517000145 |
| Provider Name | Rhonda K Hiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154374759 PECOS PAC ID: 5890798383 Enrollment ID: I20060823000492 |
| Provider Name | Neelakshi Upreti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548366834 PECOS PAC ID: 9638176407 Enrollment ID: I20061109000124 |
| Provider Name | Bhavini Mody-high |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023270568 PECOS PAC ID: 2163580762 Enrollment ID: I20081027000505 |
| Provider Name | Kate M Grap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578602959 PECOS PAC ID: 5193885556 Enrollment ID: I20081117000007 |
| Provider Name | Mary A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073744348 PECOS PAC ID: 5395883144 Enrollment ID: I20091116000270 |
| Provider Name | Angela Kaye Sturgeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558696047 PECOS PAC ID: 3476691106 Enrollment ID: I20091117000411 |
| Provider Name | Elizabeth S Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053352518 PECOS PAC ID: 4486548641 Enrollment ID: I20100503000323 |
| Provider Name | Sharon Norman Rodrigue |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992741714 PECOS PAC ID: 4587857123 Enrollment ID: I20101015000097 |
| Provider Name | Nahtanha Lauree Hering |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407906860 PECOS PAC ID: 0547447641 Enrollment ID: I20110526000379 |
| Provider Name | Gentry C Larue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316974314 PECOS PAC ID: 4082871470 Enrollment ID: I20120214000461 |
| Provider Name | Carol Lynn Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295093938 PECOS PAC ID: 1355505389 Enrollment ID: I20120604000195 |
| Provider Name | Ashley H Bowen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285868224 PECOS PAC ID: 1759546906 Enrollment ID: I20120713000156 |
| Provider Name | Caralee Blair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689808255 PECOS PAC ID: 5597914879 Enrollment ID: I20121002000062 |
| Provider Name | Sandra Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598005027 PECOS PAC ID: 2961640487 Enrollment ID: I20130522000693 |
| Provider Name | Fareesh H Kanga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699938068 PECOS PAC ID: 8022244169 Enrollment ID: I20131120001665 |
| Provider Name | Ajita R Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932530722 PECOS PAC ID: 0143444661 Enrollment ID: I20140624000165 |
| Provider Name | Amy Carrillo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780878330 PECOS PAC ID: 5991863862 Enrollment ID: I20150126000286 |
| Provider Name | Victoria J Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235522475 PECOS PAC ID: 8527386903 Enrollment ID: I20150415000673 |
| Provider Name | Susan Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780063065 PECOS PAC ID: 6901117936 Enrollment ID: I20150617002902 |
| Provider Name | Jennifer Sanderson Brocato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548644438 PECOS PAC ID: 5698081115 Enrollment ID: I20150828002203 |
| Provider Name | Jeffrey Kovarik |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1285017327 PECOS PAC ID: 9739498734 Enrollment ID: I20151013002231 |
| Provider Name | John W Landis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1164668646 PECOS PAC ID: 0345546362 Enrollment ID: I20160316002155 |
| Provider Name | Nelson E Young |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740369313 PECOS PAC ID: 0143460139 Enrollment ID: I20160420002625 |
| Provider Name | Lauren B Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235509761 PECOS PAC ID: 1456633114 Enrollment ID: I20170113000499 |
| Provider Name | Samuel Jacob Watson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881906022 PECOS PAC ID: 9537442173 Enrollment ID: I20170206002688 |
| Provider Name | Jason Lunsford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093183600 PECOS PAC ID: 2163723412 Enrollment ID: I20170222000099 |
| Provider Name | Steven Hernandez |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1265411599 PECOS PAC ID: 1153605357 Enrollment ID: I20170308000313 |
| Provider Name | Justin Lane Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720321292 PECOS PAC ID: 1052630456 Enrollment ID: I20170614001919 |
| Provider Name | Sarah Alice Riley-burnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912326307 PECOS PAC ID: 2961705306 Enrollment ID: I20170918002153 |
| Provider Name | Patricia Sue Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730683301 PECOS PAC ID: 9537422571 Enrollment ID: I20180404002048 |
| Provider Name | Tricia Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366932766 PECOS PAC ID: 3577818707 Enrollment ID: I20180612001611 |
| Provider Name | Mary Ayres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023503166 PECOS PAC ID: 5294078820 Enrollment ID: I20190522000501 |
| Provider Name | Shylaja Nuguri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255303863 PECOS PAC ID: 9830144419 Enrollment ID: I20190926002368 |
| Provider Name | Shelia Renee Albright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518287606 PECOS PAC ID: 8426481185 Enrollment ID: I20191210003520 |
| Provider Name | Kayla Elizabeth Vincent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255700241 PECOS PAC ID: 7113354895 Enrollment ID: I20200218001943 |
| Provider Name | Helena Jean Lear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942665518 PECOS PAC ID: 3870923741 Enrollment ID: I20200416000291 |
| Provider Name | Andrea Homer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104468164 PECOS PAC ID: 5890126411 Enrollment ID: I20200515000863 |
| Provider Name | Lora Reid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699006023 PECOS PAC ID: 6406273028 Enrollment ID: I20200827002809 |
| Provider Name | Kayla Putton Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871108100 PECOS PAC ID: 2466872627 Enrollment ID: I20201009000972 |
| Provider Name | David Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992338297 PECOS PAC ID: 0244643062 Enrollment ID: I20210114002735 |
| Provider Name | Amanda Stappe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982298097 PECOS PAC ID: 6800203332 Enrollment ID: I20210330002527 |
| Provider Name | Kimberly Nicole Sarlls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356924716 PECOS PAC ID: 5991104259 Enrollment ID: I20210519001292 |
| Provider Name | Sara Mahmoud Shalash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316504616 PECOS PAC ID: 3375945363 Enrollment ID: I20210713003926 |
| Provider Name | Kimberly A Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487974135 PECOS PAC ID: 4486057601 Enrollment ID: I20210726003657 |
| Provider Name | Kennedy Marie Garmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427716679 PECOS PAC ID: 6507256310 Enrollment ID: I20211210000821 |
| Provider Name | Shannon Nicole Kincaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245981943 PECOS PAC ID: 7517353790 Enrollment ID: I20220416000089 |
| Provider Name | Hilary Elizabeth Halverstadt |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063936631 PECOS PAC ID: 8426436932 Enrollment ID: I20220610001974 |
| Provider Name | April Skaggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720727423 PECOS PAC ID: 9638550940 Enrollment ID: I20220718003608 |
| Provider Name | Sophie Wells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164150397 PECOS PAC ID: 5092199711 Enrollment ID: I20220830002390 |
| Provider Name | Nancy Anne Bishof |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326085218 PECOS PAC ID: 0446620975 Enrollment ID: I20221228000753 |
| Provider Name | Kristen Upton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073717922 PECOS PAC ID: 8123180445 Enrollment ID: I20221230002013 |
| Provider Name | Selena Pantoja |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497448963 PECOS PAC ID: 8527425347 Enrollment ID: I20230608002353 |
| Provider Name | James Augustus Piper |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740967298 PECOS PAC ID: 5193185783 Enrollment ID: I20230713003504 |
| Provider Name | Joshua Edward Fraley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912686510 PECOS PAC ID: 3173987336 Enrollment ID: I20230907000751 |
| Provider Name | Susan Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750168589 PECOS PAC ID: 6103270731 Enrollment ID: I20230929001971 |
| Provider Name | Paul Duane Depriest |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801830328 PECOS PAC ID: 5799863031 Enrollment ID: I20231031001299 |
| Provider Name | Jessica L Acker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467078840 PECOS PAC ID: 5597150136 Enrollment ID: I20231213001311 |
| Provider Name | Sharon Kiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174268254 PECOS PAC ID: 6507205622 Enrollment ID: I20240422001766 |
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Tadarro L. Richardson M.d. P.s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 S Limestone, Lexington, KY 40508 Phone: 859-226-7000 | |
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