REBECCA JEANNINE BLAKLEY (NPI# 1346751013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346751013 |
| Entity Type | Individual |
| Full Name | REBECCA JEANNINE BLAKLEY |
| Other Name | REBECCA JEANNINE BELL |
| Credential | CPNP |
| Practice Address |
350 Hospital Way Ste 100 Somerset KY 42503-1872 |
| Mailing Address |
302 N Maple St Somerset KY 42501-1442 |
| Practice Telephone | 8652073466 |
| Mailing Telephone | 8652073466 |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2020-10-07 |
| NPI Deactivation Date | 07/25/2018 |
| NPI Reactivation Date | 2018-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 3014537 | KY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 23410 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | ADVANCED PRACTICE REGISTERED NURSE | 23410 | 01 |
| Street Address |
350 HOSPITAL WAY STE 100 |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-1872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861562746 | Daniel Lawrence Gallo | Internal Medicine | 350 Hospital Way Ste 100, Somerset, KY 42503-1872 | 2006-11-08 |
| 1821483298 | Logan Edmonds | Internal Medicine | 350 Hospital Way Ste 100, Somerset, KY 42503-1872 | 2015-04-02 |
| 1437549458 | Julie Stevens | Nurse Practitioner | 350 Hospital Way Ste 100, Somerset, KY 42503-1872 | 2015-01-29 |
| 1083961601 | David Brandon Thomas Jr. | Internal Medicine | 350 Hospital Way Ste 100, Somerset, KY 42503-1872 | 2012-08-14 |
| 1285832808 | Lake Cumberland Physician Practices, LLC | General Practice | 350 Hospital Way Ste 100, Somerset, KY 42503-1872 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982066296 | Jeremy Sites | Pediatrics | 230 S Central Ave, Somerset, KY 42501-2110 | 2016-03-25 |
| 1285977025 | Melissa Renee Sinclair | Pediatrics | 2 Worlds Fair Dr Ste 302, Somerset, NJ 08873-1372 | 2013-03-29 |
| 1326233370 | Harry Lee Greene | Pediatrics | 205 Waitsboro Dr, Somerset, KY 42503-8715 | 2007-09-12 |
| 1396869210 | John Francis Carroll | Pediatrics | 108 Canal Walk Blvd, Somerset, NJ 08873-7277 | 2007-03-17 |
| 1417087966 | Sheeba M. Picard | Pediatrics | 350 Langdon Street, Somerset, KY 42503-2786 | 2007-03-06 |
| 1740343284 | Central Jersey Pediatrics | Pediatrics | 1527 Rt. 27 South, Ste 1600, Somerset, NJ 08873-3979 | 2006-12-18 |
| 1528157112 | Hema Pillai M.d. PC | Pediatrics | 49 Veronica Ave Ste 101, Somerset, NJ 08873-6802 | 2006-10-12 |
| 1538172036 | Ajay P Singh | Pediatrics | 126 East Church St, Suite 2300, Somerset, PA 15501 | 2006-08-14 |
| 1952319352 | Prakasham Parsi | Pediatrics | 1323 State Route 27 Unit C, Somerset, NJ 08873-3457 | 2006-08-03 |
| 1588695530 | Soheir S Ramadan | Pediatrics | 380 Davidson Ave, 1, Somerset, NJ 08873-4116 | 2006-07-06 |
| Find all providers in SOMERSET | ||||
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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.