ROBERT A BANTA (NPI# 1215255336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215255336 |
Entity Type | Individual |
Full Name | ROBERT A BANTA |
Credential | ARNP |
Practice Address |
101 Stonecrest Rd Suite 1 Shelbyville KY 40065-8169 |
Practice Telephone | 5026332233 |
Practice Fax Number | 5026333833 |
Mailing Telephone | 5026332233 |
Mailing Fax Number | 5026333833 |
Enumeration Date | 2010-05-13 |
Last Update Date | 2010-05-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
643P | KY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609000561 | Robert E Banta | Social Worker | 9160 S 300 W, Suite 22, Sandy, UT 84070-2655 | 2009-05-06 |
Street Address |
101 STONECREST RD SUITE 1 |
City | SHELBYVILLE |
State | KY |
Zip Code | 40065-8169 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003837378 | Diagnostic Imaging Shelbyville, LLC | Radiology | 101 Stonecrest Rd, Ste 2, Shelbyville, KY 40065 | 2006-07-22 |
1346895844 | Baptist Health Medical Group Inc | Clinic/Center | 101 Stonecrest Rd, Shelbyville, KY 40065-8169 | 2019-08-02 |
1316216609 | Lisa Zaloudek | Nurse Practitioner | 101 Stonecrest Rd, Suite 100, Shelbyville, KY 40065-8169 | 2011-12-15 |
1548591266 | Medical Imaging Shelbyville | Radiology | 101 Stonecrest Rd, Suite 2, Shelbyville, KY 40065-8169 | 2010-01-20 |
1811029580 | Andrew Richard Duffee | Orthopaedic Surgery | 101 Stonecrest Rd, Suite 2, Shelbyville, KY 40065-8169 | 2007-03-09 |
1790885762 | Natasha Waldenmayer Hurst | Physician Assistant | 101 Stonecrest Rd, Suite 1, Shelbyville, KY 40065-8169 | 2006-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
Find all providers in zip 40065 |
Taxonomy Code | 364SF0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Family Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952785990 | Dianne Lyvers | Clinical Nurse Specialist | 1002 Johnstown Rd, Suite 200, Elizabethtown, KY 42701-3926 | 2015-07-18 |
1922482587 | Hope Smith | Clinical Nurse Specialist | 503 Crofton Dawson Rd, Crofton, KY 42217-8102 | 2015-07-14 |
1255735429 | Robert Randolph Morley II | Clinical Nurse Specialist | 1517 Nicholasville Rd Ste 201, Lexington, KY 40503-1429 | 2014-10-17 |
1174934418 | Tri County Health Clinic, LLC | Clinical Nurse Specialist | 13510 Fountain Run Rd, Fountain Run, KY 42133-7915 | 2014-05-08 |
1235139312 | Jennie Stuart Medical Center | Clinical Nurse Specialist | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2005-07-29 |
1083613079 | Steven M Gauze | Clinical Nurse Specialist | 2160 Blacklog Rd, Suite 120, Inez, KY 41224-9019 | 2005-07-20 |
1326657727 | Hope's Healthcare | Clinical Nurse Specialist | 150 College St, Crofton, KY 42217-8183 | 2020-07-31 |
1992362982 | Michelle R. Gooslin | Clinical Nurse Specialist | 1210 Ky Highway 36 E, Cynthiana, KY 41031-7490 | 2019-05-24 |
1952800195 | Kyla Lee Anderson | Clinical Nurse Specialist | 1210 Ky Highway 36 E, Cynthiana, KY 41031-7490 | 2018-02-02 |
1053784017 | Peggy Janson Heuser | Clinical Nurse Specialist | 2040 Metal Ln, Louisville, KY 40206-1094 | 2015-11-12 |
Find all providers with the same taxonomy |
City | SHELBYVILLE |
Zip Code | 40065 |
Please comment or provide details below to improve the information on ROBERT A BANTA.
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.