Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Destiny Grove

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1053159749

Destiny Grove is a Nurse Practitioner in Richmond, Kentucky. Qualified in 2024, 2 years ago. Practices with Family Health Care Clinic PSC, an 8-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2024
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Practice location Address checks out

1012 Center Dr
Richmond, KY 40475-3838
Phone: (859) 626-9696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4024428 (KY)

Record details

NPI number1053159749
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 17, 2024
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024
Mailing addressPo Box 267, Richmond, KY 40476-0267

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Family Health Care Clinic Psc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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