=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821949314
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEART OF BLUEGRASS PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/09/2026
-----------------------------------------------------
Last Update Date | 02/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4611 N DIXIE HWY STE 202
-----------------------------------------------------
City | ELIZABETHTOWN
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42701-8858
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 502-203-1220
-----------------------------------------------------
Fax | 502-237-9258
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4611 NORTH DIXIE HIGHYWAY SUITE 202
-----------------------------------------------------
City | ELIZABETHTOWN
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42701
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 502-203-1220
-----------------------------------------------------
Fax | 502-237-9258
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER NURSE PRACTITIONER
-----------------------------------------------------
Name | BRITTANY READ GRANT
-----------------------------------------------------
Credential | MSN, APRN, FNP-C
-----------------------------------------------------
Telephone | 270-590-6519
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------