Provider Demographics
NPI:1386047744
Name:NOGRADI, HILLARY (CRNA)
Entity type:Individual
Prefix:MRS
First Name:HILLARY
Middle Name:
Last Name:NOGRADI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:
Other - Last Name:FELLERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:212 N 2ND ST STE 100
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-1408
Mailing Address - Country:US
Mailing Address - Phone:859-317-7990
Mailing Address - Fax:
Practice Address - Street 1:305 LANGDON ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-2750
Practice Address - Country:US
Practice Address - Phone:606-679-7441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-30
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4034652367500000X
TNAPN19073363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ012709Medicaid
TN10350I4869Medicare PIN