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KIOSK MEDICINE KENTUCKY LLC
NPI 1285057257
Nurse Practitioner - Family in Shelbyville, KY

Active since January 28, 2014CLIA 18D2020018 · Waiver
311 BOONE STATION RD, SHELBYVILLE, KY 40065(502) 437-8000(502) 437-8001 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2025, Dec 12, 2024, Dec 20, 2016 (3 updates tracked since 2016).

About Kiosk Medicine Kentucky Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIOSK MEDICINE KENTUCKY LLC (NPI 1285057257) is a healthcare organization registered as a family in Shelbyville, Kentucky and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through February 9, 2027 and lists Thomas Shelly, Vp & General Manager, as its authorized official.

NPPES Registry Identity

NPI1285057257
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKIOSK MEDICINE KENTUCKY LLC
Location Address311 BOONE STATION RDShelbyville, KY 40065-8673
Mailing AddressPo Box 932958Cleveland, OH 44193-0028 · (615) 425-4200 · Fax (615) 425-4201
Phone(502) 437-8000
Fax(502) 437-8001
Organization SubpartNo
Authorized OfficialThomas ShellyVp & General Manager · (615) 425-4200
Enumeration DateJanuary 28, 2014
Last NPPES UpdateOctober 21, 20253 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1285057257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedPhysician AssistantTaxonomy 363A00000X
311 BOONE STATION RD, Shelbyville, KY 40065
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100273680KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2020018

Kiosk Medicine Kentucky LLC · Shelbyville, KY
Active · expires Feb 9, 2027
CLIA Number18D2020018
Laboratory TypeWalk In Health Clinic
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorErin Macy
Laboratory Phone(502) 810-4146
Laboratory LocationKiosk Medicine Kentucky LLC311 Boone Station Road, Shelbyville, KY 40065
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALLORY MONROE PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
311 BOONE STATION RD
SHELBYVILLE, KY 40065
Shelby County (502) 633-5331
JENNY KAY QUINN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
311 BOONE STATION RD
SHELBYVILLE, KY 40065
Shelby County (502) 633-5331
MALCOLM ALLEN GEOGHEGAN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
311 BOONE STATION RD
SHELBYVILLE, KY 40065
Shelby County (502) 633-5331
KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
311 BOONE STATION RD
SHELBYVILLE, KY 40065
Shelby County (502) 633-5331
SAMUEL L. EVANS MSN, APRN, FNP-C
Nurse Practitioner (Family)
311 BOONE STATION RD
SHELBYVILLE, KY 40065
Shelby County (502) 437-8000
BRIAN TRENT NP
Nurse Practitioner (Family)
311 BOONE STATION RD
SHELBYVILLE, KY 40065
Shelby County (502) 633-2233
ANNA KATE BASTIN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
311 BOONE STATION RD
SHELBYVILLE, KY 40065
Shelby County (502) 633-5331
TARYN ALYSE COLEMAN APRN
Nurse Practitioner (Family)
311 BOONE STATION RD
SHELBYVILLE, KY 40065
Shelby County (859) 623-5155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kiosk Medicine Kentucky LLC's NPI number?

The NPI number for Kiosk Medicine Kentucky LLC is 1285057257. It was assigned to this organization in the NPPES registry on January 28, 2014.

Where is Kiosk Medicine Kentucky LLC located?

Kiosk Medicine Kentucky LLC is located at 311 Boone Station Rd, Shelbyville, KY 40065. The listed phone number is (502) 437-8000.

What is Kiosk Medicine Kentucky LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Kiosk Medicine Kentucky LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2020018) is associated with this NPI, valid through February 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kiosk Medicine Kentucky LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Kiosk Medicine Kentucky LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kiosk Medicine Kentucky LLC was last updated on October 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.