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KIOSK MEDICINE KENTUCKY LLC
NPI 1871916833
Nurse Practitioner - Family in Prospect, KY

Active since January 28, 2014CLIA 18D2065545 · Waiver
5929 TIMBER RIDGE DR, PROSPECT, KY 40059(502) 228-2507(502) 228-2508 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 21, 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 1871916833) is a healthcare organization registered as a family in Prospect, Kentucky and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through September 9, 2027 and lists Thomas Shelly, Vp & General Manager, as its authorized official.

NPPES Registry Identity

NPI1871916833
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKIOSK MEDICINE KENTUCKY LLC
Location Address5929 TIMBER RIDGE DRProspect, KY 40059-8153
Mailing AddressPo Box 932958Cleveland, OH 44193-0028 · (615) 425-4200 · Fax (615) 425-4201
Phone(502) 228-2507
Fax(502) 228-2508
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 1871916833 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
5929 TIMBER RIDGE DR, Prospect, KY 40059
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100274270KY

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 18D2065545

Kiosk Medicine Of Kentucky LLC · Prospect, KY
Active · expires Sep 9, 2027
CLIA Number18D2065545
Laboratory TypeWalk In Healthcare Clinic
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorErin Macy
Laboratory Phone(502) 228-2507
Laboratory LocationKiosk Medicine Of Kentucky LLC5929 Timber Ridge Drive, Prospect, KY 40059
CLIA data matches this NPI record on: Address 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.

VICKI MOORE APRN, FNP-BC
Nurse Practitioner (Family)
5929 TIMBER RIDGE DR
PROSPECT, KY 40059
Jefferson County (502) 228-2507
MRS. JANET ELIZABETH THORLEY ARNP
Nurse Practitioner (Family)
5929 TIMBER RIDGE DR
PROSPECT, KY 40059
Jefferson County (502) 228-2507
CHRISTINA JUNE KAPFHAMMER
Nurse Practitioner (Family)
5929 TIMBER RIDGE DR
PROSPECT, KY 40059
Jefferson County (502) 228-2507
KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
5929 TIMBER RIDGE DR
PROSPECT, KY 40059
Jefferson County (502) 292-2471
MRS. ALYSON NICOLE COOPER APRN-C
Nurse Practitioner (Family)
5929 TIMBER RIDGE DR
PROSPECT, KY 40059
Jefferson County (502) 228-2507
AMANDA WILLIAMS RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5929 TIMBER RIDGE DR
PROSPECT, KY 40059
Jefferson County (502) 292-2471
KRISTEN JOY HINES PHARMD
Pharmacist
5929 TIMBER RIDGE DR
PROSPECT, KY 40059
Jefferson County (502) 292-2471
NIKKI LEE ARMSTRONG FNP
Nurse Practitioner (Family)
5929 TIMBER RIDGE DR
PROSPECT, KY 40059
Jefferson County (937) 657-0757

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 1871916833. 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 5929 Timber Ridge Dr, Prospect, KY 40059. The listed phone number is (502) 228-2507.

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 18D2065545) is associated with this NPI, valid through September 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.