NKY MED, LLC
NPI 1649681099
Clinic/Center - Methadone in Covington, KY

Active since May 19, 2014CLIA 18D2119754 · Waiver
1717 MADISON AVE, COVINGTON, KY 41011(859) 360-0250 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nky Med, Llc NPPES

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

NKY MED, LLC (NPI 1649681099) is a healthcare organization registered as a methadone in Covington, Kentucky and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists Robyn Tanis, Executive Director Of Contract Mgmt, as its authorized official.

NPPES Registry Identity

NPI1649681099
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameNKY MED, LLC
Location Address1717 MADISON AVECovington, KY 41011-3330
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111 · Fax (856) 780-5153
Organization SubpartYesParent: Pinnacle Treatment Centers, Inc
Authorized OfficialRobyn TanisExecutive Director Of Contract Mgmt · (856) 533-8762
Enumeration DateMay 19, 2014
Last NPPES UpdateDecember 20, 2019
NPI 1649681099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License Licensed in KY · 810355
Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

1717 MADISON AVE, Covington, KY 41011

Other Identifiers 1

Other810355KY · State Licnese

Accepted 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 18D2119754

Nky Med Clinic · Covington, KY
Active · expires Oct 3, 2026
CLIA Number18D2119754
Laboratory TypeAlcohol And Drug Treatmt
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorDr. Lori Legrand Nation
Laboratory Phone(859) 360-0250
Laboratory LocationNky Med Clinic1717 Madison Ave, Covington, KY 41011
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
1,373 services44 patients
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078
This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
169 services15 patients

Other Providers at the Same Location NPPES 19

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

Clinic/Center (Methadone)
1717 MADISON AVE
COVINGTON, KY 41011
Counselor (Addiction (Substance Use Disorder))
1717 MADISON AVE
COVINGTON, KY 41011
Counselor (Addiction (Substance Use Disorder))
1717 MADISON AVE
COVINGTON, KY 41011
Counselor (Addiction (Substance Use Disorder))
1717 MADISON AVE
COVINGTON, KY 41011
Counselor (Addiction (Substance Use Disorder))
1717 MADISON AVE
COVINGTON, KY 41011
Counselor (Professional)
1717 MADISON AVE
COVINGTON, KY 41011
Counselor (Addiction (Substance Use Disorder))
1717 MADISON AVE
COVINGTON, KY 41011
Case Manager/Care Coordinator
1717 MADISON AVE
COVINGTON, KY 41011

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 Nky Med, LLC's NPI number?

The NPI number for Nky Med, LLC is 1649681099. It was assigned to this organization in the NPPES registry on May 19, 2014.

Where is Nky Med, LLC located?

Nky Med, LLC is located at 1717 Madison Ave, Covington, KY 41011. The listed phone number is (859) 360-0250.

What is Nky Med, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Nky Med, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2119754) is associated with this NPI, valid through October 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nky Med, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Molina Healthcare list Nky Med, 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 Nky Med, LLC was last updated on December 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.