Healthcare Provider Details

I. General information

NPI: 1386047744
Provider Name (Legal Business Name): HILLARY NOGRADI CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HILLARY FELLERS NP

II. Dates (important events)

Enumeration Date: 09/30/2014
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 LANGDON ST
SOMERSET KY
42503-2750
US

IV. Provider business mailing address

212 N 2ND ST STE 100
RICHMOND KY
40475-1408
US

V. Phone/Fax

Practice location:
  • Phone: 606-679-7441
  • Fax:
Mailing address:
  • Phone: 859-317-7990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN19073
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4034652
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: