JAMESTOWN HEALTHCARE CLINIC, LLC (NPI# 1588989008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588989008 |
| Entity Type | Organization |
| Organization Name | JAMESTOWN HEALTHCARE CLINIC, LLC |
| Practice Address |
1417 N. Main St Jamestown KY 42629 |
| Mailing Address |
Po Box 966 Jamestown KY 42629-0966 |
| Practice Telephone | 2703432597 |
| Practice Fax Number | 2703432598 |
| Mailing Telephone | 2703432597 |
| Mailing Fax Number | 2703432598 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |
| Authorized Official Name | JERRY W LAWSON (OWNER, PRESIDENT) |
| Authorized Official Telephone | 2703432597 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5260P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65944381 | 05 |
| Street Address |
1417 N. MAIN ST |
| City | JAMESTOWN |
| State | KY |
| Zip Code | 42629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023400124 | Vickie Robertson | Registered Nurse | 119 Herriford Curve Rd, Jamestown, KY 42629 | 2015-02-26 |
| 1821314733 | Kristin Holly Adams | Pharmacist | 1417 N. Main St., Jamestown, KY 42629 | 2010-04-16 |
| 1801079660 | Lynda K Heath | Nurse Practitioner | 119 Hereford Curve Rd, Jamestown, KY 42629 | 2007-12-14 |
| 1609064831 | Julene Hopper | Counselor | 119 Hereford Curve Road, Jamestown, KY 42629 | 2007-10-12 |
| 1114059375 | Lisa Ann Helm | Speech-Language Pathologist | 70 Forest Hill Drive, Jamestown, KY 42629 | 2007-03-12 |
| 1235268723 | Jamestown Valu-rite Pharmacy | Durable Medical Equipment & Medical Supplies | 1417 North Main Street, Suite A, Jamestown, KY 42629 | 2007-03-02 |
| 1972642361 | Russell County Board of Education | Local Education Agency (LEA) | 404 S Main Street, Jamestown, KY 42629 | 2007-02-05 |
| 1508942749 | Melanie K Loy Flanagan | Dentist | 43 Fruit of The Loom Drive, Jamestown, KY 42629 | 2006-10-31 |
| 1891881413 | Jeffrey Louis Warner | Pharmacist | 1417 N. Main Street, Suite A, Jamestown, KY 42629 | 2006-10-04 |
| 1639121965 | Angela Feese | Social Worker | Highway 127 South, Jamestown, KY 42629 | 2006-05-16 |
| Find all providers in zip 42629 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801079660 | Lynda K Heath | Nurse Practitioner | 119 Hereford Curve Rd, Jamestown, KY 42629 | 2007-12-14 |
| 1548362502 | Kara A Falk | Nurse Practitioner | 721 A 1st Ave S, Jamestown, ND 58401-4723 | 2006-09-01 |
| 1346262839 | Patricia Dardis | Nurse Practitioner | 520 3rd Ave Nw, Jamestown, ND 58401-3016 | 2006-07-24 |
| 1841211125 | Rose Ann R Flick | Nurse Practitioner | 880 E 2nd St, Jamestown, NY 14701-3824 | 2006-07-21 |
| 1922062710 | Beverly A Szukis | Nurse Practitioner | 1538 Harbor Springs Rd, Jamestown, KY 42629-7970 | 2006-04-17 |
| 1871580506 | Susan K Jordan | Nurse Practitioner | 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 | 2005-09-27 |
| 1891781696 | Grenetta L Ritenour | Nurse Practitioner | 4940 Cottonville Rd Ste 100, Jamestown, OH 45335-1522 | 2005-09-27 |
| 1609873843 | Kathryn N. Westall | Nurse Practitioner | 20 Southwest Ave, Jamestown, RI 02835-1120 | 2005-07-01 |
| 1891392122 | Amy Jo Caldwell | Nurse Practitioner | 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2020-10-09 |
| 1518511625 | Amber Dawn Clapp | Nurse Practitioner | 604 W Main St, Jamestown, NC 27282-9515 | 2019-07-26 |
| Find all providers in JAMESTOWN | ||||
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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.