MS. JESSICA BROOKE PRAHL (NPI# 1336492677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336492677 |
| Entity Type | Individual |
| Full Name | MS. JESSICA BROOKE PRAHL |
| Other Name | JESSICA BROOKE GUSLER |
| Credential | P.A.-C. |
| Practice Address |
1111 Ring Rd Suite 100 Elizabethtown KY 42701-4900 |
| Mailing Address |
Po Box 2309 Elizabethtown KY 42702-2309 |
| Practice Telephone | 2707065515 |
| Practice Fax Number | 2707065516 |
| Mailing Telephone | 2707065515 |
| Mailing Fax Number | 2707065516 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2016-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100255980 | 05 |
| Street Address |
1111 RING RD SUITE 100 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699725234 | Carefirst Urgent Care Center LLC | Family Medicine | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2006-05-12 |
| 1962973644 | Gabriel Chapman | Specialist/Technologist | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2018-12-06 |
| 1326519158 | Samantha Styer | Specialist/Technologist | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2018-12-05 |
| 1649623778 | Richard Keenan Morse | Specialist/Technologist | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2016-07-13 |
| 1023471323 | William Witzel | Specialist/Technologist | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2016-04-04 |
| 1114307261 | Cody Bearden | Orthopaedic Surgery | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2015-06-04 |
| 1316331937 | Maria Catherine Backes | Specialist/Technologist | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2015-03-20 |
| 1588946107 | Stephanie Whitlock | Nurse Practitioner | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2011-09-10 |
| 1790079481 | Erica Nichole Schell | Nurse Practitioner | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2011-05-31 |
| 1417270364 | Kaleb Boydston | Specialist/Technologist | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2010-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821514944 | Thomas Caleb Watts | Physician Assistant | 1310 Woodland Dr, Elizabethtown, KY 42701-2651 | 2017-08-21 |
| 1992037709 | Pack Family Medicine, Pllc | Physician Assistant | 212 S Pine St, Elizabethtown, NC 28337-9163 | 2010-02-03 |
| 1992940233 | Jamie Lynn Hammond | Physician Assistant | 300a Mckay St, Elizabethtown, NC 28337-9037 | 2008-12-15 |
| 1518111509 | Todd Michael Rowe | Physician Assistant | 1414 Amandajo Dr, Elizabethtown, KY 42701-4639 | 2008-11-04 |
| 1427152438 | Lyn A Govette | Physician Assistant | 426 East G St, Elizabethtown, TN 37643 | 2006-09-11 |
| 1154303675 | Brandon Chase Wampler | Physician Assistant | 2412 Ring Rd Ste 200, Elizabethtown, KY 42701-5913 | 2005-11-18 |
| 1447250584 | Chanty Lynn Headspeth | Physician Assistant | 906 Woodland Dr, Ste 102, Elizabethtown, KY 42701-2752 | 2005-07-29 |
| 1124028246 | Carla Renee Fray | Physician Assistant | 101 Financial Pl Ste 104, Elizabethtown, KY 42701-8481 | 2005-07-29 |
| 1225038086 | Kelly R Richardson | Physician Assistant | 914 N Dixie Ave, Suite 304, Elizabethtown, KY 42701-2520 | 2005-07-22 |
| 1548872583 | Zachary David Martin | Physician Assistant | 1 Continental Dr, Elizabethtown, PA 17022-2231 | 2020-08-20 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.