KACEY BOLTON (NPI# 1194277129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194277129 |
| Entity Type | Individual |
| Full Name | KACEY BOLTON |
| Credential | APRN |
| Practice Address |
803 Meyers Baker Rd Suite 200 London KY 40741-3039 |
| Practice Telephone | 6068783240 |
| Practice Fax Number | 6068783245 |
| Mailing Telephone | 6068783240 |
| Mailing Fax Number | 6068783245 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
3010817 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
803 MEYERS BAKER RD SUITE 200 |
| City | LONDON |
| State | KY |
| Zip Code | 40741-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467437293 | Melissa Llenay Zook | Family Medicine | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2005-12-14 |
| 1184234775 | Christopher Lee White | Physician Assistant | 803 Meyers Baker Rd, London, KY 40741-3039 | 2020-08-07 |
| 1235596479 | Bethany D Ledford | Nurse Practitioner | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2016-01-19 |
| 1760876122 | Shana Sandifer | Nurse Practitioner | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2015-03-24 |
| 1285993204 | Laura B. Walters | Physician Assistant | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2012-05-11 |
| 1306137336 | Bluegrass Primary Care & Pediatrics, Pllc | Family Medicine | 803 Meyers Baker Rd, Suite 150, London, KY 40741-3039 | 2011-04-25 |
| 1457660102 | Michelle Collins Boothe | Physician Assistant | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2010-09-29 |
| 1922241512 | Aishawarya Sarkar | Obstetrics & Gynecology | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2009-04-12 |
| 1164676144 | Dorothy Suzanne Mcgehee | Obstetrics & Gynecology | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2008-11-04 |
| 1285897801 | Krista Devoe Preston | Obstetrics & Gynecology | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2008-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790167 | Laurel County Health Department | Nurse Practitioner | 525 Whitley St, London, KY 40741-2626 | 2018-05-14 |
| 1831370816 | Deborah D. Hacker | Nurse Practitioner | 525 Whitley St, London, KY 40741-2626 | 2007-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275003519 | Tereza J Peercy | Nurse Practitioner | 3809 Carriage Pointe Dr, Crestwood, KY 40014-8537 | 2018-11-29 |
| 1063913986 | Tara Lynn Denton | Nurse Practitioner | 1425 W Broadway, Louisville, KY 40203-2059 | 2018-02-26 |
| 1780131037 | Stacey Gaunce | Nurse Practitioner | 956 Lower Hatcher Creek Rd, Stanton, KY 40380-9765 | 2016-09-03 |
| 1043686561 | Ashley Barton | Nurse Practitioner | Us-25e Cumberland Gap Parkway, Gray, KY 40734 | 2015-08-19 |
| 1093107781 | Lecresha Sewell | Nurse Practitioner | 4123 Dutchmans Ln Ste 250, Louisville, KY 40207-4707 | 2015-03-04 |
| 1679824882 | Cheryl Yvette Wofford | Nurse Practitioner | 3307 Breckenridge Ln, Louisville, KY 40220-3213 | 2012-09-27 |
| 1043570328 | Misty H Powers | Nurse Practitioner | 2851 New Hartford Rd # B, Owensboro, KY 42303-1320 | 2012-05-21 |
| 1255655155 | Leslie Denise Simmons | Nurse Practitioner | 1858 Old Lebanon Rd, Campbellsville, KY 42718-9663 | 2010-03-22 |
| 1326287905 | Aesthetic Associates & Women's Health LLC | Nurse Practitioner | 112 Keeton Dr, Hopkinsville, KY 42240-8756 | 2009-02-05 |
| 1215182951 | Womens Center for Gynecology and Bladder Disorders | Nurse Practitioner | 5512 Bardstown Rd, Louisville, KY 40291-1910 | 2008-11-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.