APPALACHIAN HOLDINGS COMPANY LLC (NPI# 1568901387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568901387 |
| Entity Type | Organization |
| Organization Name | APPALACHIAN HOLDINGS COMPANY LLC |
| Practice Address |
519 Booth Rd Pine Ridge KY 41360-8805 |
| Practice Telephone | 6066687497 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | MELISA K BOOTH (OWNER) |
| Authorized Official Telephone | 6063623763 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2049529 | KY | Nursing Service Providers |
| Street Address |
519 BOOTH RD |
| City | PINE RIDGE |
| State | KY |
| Zip Code | 41360-8805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740558162 | Ada S Spencer | Massage Therapist | 22 Dorsey Spencer Rd., Pine Ridge, KY 41360 | 2011-12-13 |
| 1952486490 | Heather Brewer Johnson | Speech-Language Pathologist | 4516 Ky 15 North, Pine Ridge, KY 41360 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508427352 | Apollo Medflight, LLC | Ambulance | 12 Airport Rd, Pine Ridge, SD 57770 | 2019-06-24 |
| 1750736096 | Joyce Achenjang | Internal Medicine | 607 Indian Health Rd, Pine Ridge, SD 57770-3169 | 2016-04-23 |
| 1922474758 | Siyue Li | Pharmacist | East U.S. 18, Pine Ridge, SD 57770-1002 | 2015-08-17 |
| 1528466620 | Ken Riverson | Pharmacist | Hwy 18 E, Phs Indian Health Hospital, Pine Ridge, SD 57770-1201 | 2014-12-05 |
| 1427309368 | Oglala Sioux Tribe | Home Health | East Highway 18 Airport Road, Oglala Sioux Tribe Ost Health Administration, Pine Ridge, SD 57770-5011 | 2012-10-01 |
| 1841546264 | Sharla Laurene Roth | Pharmacist | E Highway 18, Pine Ridge, SD 57770 | 2012-08-03 |
| 1740558162 | Ada S Spencer | Massage Therapist | 22 Dorsey Spencer Rd., Pine Ridge, KY 41360 | 2011-12-13 |
| 1477843282 | Keith Lincoln Keller | Family Medicine | Ihs Pine Ridge Service Unit, Hwy 18, Pine Ridge, SD 57770 | 2011-04-13 |
| 1316246259 | Michael Brian Brady | Pharmacist | East Hiway 18, Pine Ridge, SD 57770-1201 | 2011-03-17 |
| 1952602872 | Catherine Whelimina Wacondo | Registered Nurse | Us Hwy 18 Pineridge Ihs, Pine Ridge, SD 57770-1232 | 2010-11-09 |
| Find all providers in PINE RIDGE | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578723003 | Linda Janis | Licensed Practical Nurse | Us Highway 18, Pine Ridge, SD 57770-1201 | 2008-06-09 |
| 1063733806 | Julie Coomes | Licensed Practical Nurse | East Highway 18, Pine Ridge, SD 57770-1201 | 2010-06-16 |
| 1275778722 | Julia Nancy Littlehawk | Licensed Practical Nurse | East Highway 18, Pine Ridge, SD 57770 | 2008-12-12 |
| 1053570341 | Beverly Janis | Licensed Practical Nurse | East Hwy 18, Pine Ridge, SD 57770 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357729 | Jennifer Gayle Stillwell | Licensed Practical Nurse | 202 Overlook Estates Drive, Shepherdsville, KY 40165 | 2020-08-18 |
| 1154964963 | Nancy Beth Akers | Licensed Practical Nurse | 451 Marcia St, Ashland, KY 41101-2536 | 2019-10-24 |
| 1730739749 | Tondraleia Lon-shel Lawson | Licensed Practical Nurse | 3113 Kingswood Way, Louisville, KY 40216-4916 | 2019-09-12 |
| 1497304216 | Tammy Melvin | Licensed Practical Nurse | 1425 Ford Hampton Rd, Winchester, KY 40391-8093 | 2019-09-04 |
| 1013577667 | Michael Fuller | Licensed Practical Nurse | 1539 Cuba Rd, Mayfield, KY 42066-6809 | 2019-06-17 |
| 1982160453 | Taree Patillo | Licensed Practical Nurse | 410 Bermuda Ln, Louisville, KY 40213-3318 | 2019-02-20 |
| 1861959314 | Kimberly Ann Matthews | Licensed Practical Nurse | 2812 N Highway 261, Hardinsburg, KY 40143-4983 | 2019-02-20 |
| 1154801041 | James W Strawser | Licensed Practical Nurse | 6209 Ancient Oak Dr Apt 129, Florence, KY 41042-1038 | 2018-08-20 |
| 1184118887 | Denise Goldsmith-kelley | Licensed Practical Nurse | 2611 Northwestern Pkwy, Louisville, KY 40212 | 2018-06-18 |
| 1285000679 | Thelma Stearman | Licensed Practical Nurse | 628 Crossings Ct, Bowling Green, KY 42104-5465 | 2015-08-19 |
| Find all providers with the same taxonomy | ||||
| City | PINE RIDGE |
| Zip Code | 41360 |
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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.