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KIOSK MEDICINE OF KENTUCKY LLC
NPI 1790220176
Nurse Practitioner - Family in Bellevue, KY

Active since December 21, 2016CLIA 18D2122403 · Waiver
53 DONNERMEYER DR, BELLEVUE, KY 41073(859) 815-7062(859) 815-7063 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2025, Dec 21, 2016 (2 updates tracked since 2016).

About Kiosk Medicine Of Kentucky Llc NPPES

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

KIOSK MEDICINE OF KENTUCKY LLC (NPI 1790220176) is a healthcare organization registered as a family in Bellevue, Kentucky and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through November 28, 2026 and lists Thomas Shelly, Vp & General Manger, as its authorized official.

NPPES Registry Identity

NPI1790220176
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKIOSK MEDICINE OF KENTUCKY LLC
Location Address53 DONNERMEYER DRBellevue, KY 41073-1394
Mailing AddressPo Box 932958Cleveland, OH 44193-0028 · (615) 425-4200 · Fax (615) 425-4201
Phone(859) 815-7062
Fax(859) 815-7063
Organization SubpartNo
Authorized OfficialThomas ShellyVp & General Manger · (615) 425-4200
Enumeration DateDecember 21, 2016
Last NPPES UpdateOctober 21, 20252 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1790220176 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
53 DONNERMEYER DR, Bellevue, KY 41073
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100455050KY

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 18D2122403

Kiosk Medicine Kentucky LLC · Bellevue, KY
Active · expires Nov 28, 2026
CLIA Number18D2122403
Laboratory TypeWalk In
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorMs. Theresa Riggs
Laboratory Phone(859) 815-7062
Laboratory LocationKiosk Medicine Kentucky LLC53 Donnermyer Drive, Bellevue, KY 41073
CLIA data matches this NPI record on: Phone
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.

JENNIFER LYLE
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
53 DONNERMEYER DR
BELLEVUE, KY 41073
Campbell County (859) 431-5413
REBECCA FARNEY
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
53 DONNERMEYER DR
BELLEVUE, KY 41073
Campbell County (859) 431-5413
MRS. JESSICA ANN HEMMER PHARMD
Pharmacist
53 DONNERMEYER DR
BELLEVUE, KY 41073
Campbell County (859) 431-5413
TERRIKKA NICOLE MCDONALD APRN
Nurse Practitioner (Family)
53 DONNERMEYER DR
BELLEVUE, KY 41073
Campbell County (859) 815-7063
KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
53 DONNERMEYER DR
BELLEVUE, KY 41073
Campbell County (859) 431-5413
ABIGAIL C WEEKS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
53 DONNERMEYER DR
BELLEVUE, KY 41073
Campbell County (859) 491-0302
CHELSEA PUGH
Nurse Practitioner (Family)
53 DONNERMEYER DR
BELLEVUE, KY 41073
Campbell County (859) 815-7062
DR. MARCUS E. MCKINNEY PHARM. D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
53 DONNERMEYER DR
BELLEVUE, KY 41073
Campbell County (859) 431-5413

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 Of Kentucky LLC's NPI number?

The NPI number for Kiosk Medicine Of Kentucky LLC is 1790220176. It was assigned to this organization in the NPPES registry on December 21, 2016.

Where is Kiosk Medicine Of Kentucky LLC located?

Kiosk Medicine Of Kentucky LLC is located at 53 Donnermeyer Dr, Bellevue, KY 41073. The listed phone number is (859) 815-7062.

What is Kiosk Medicine Of Kentucky LLC's specialty?

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

Does Kiosk Medicine Of Kentucky LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2122403) is associated with this NPI, valid through November 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kiosk Medicine Of 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 Of 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 Of Kentucky LLC was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.