GLENDA BASTIN


Address: 108 New Glendale Rd, Elizabethtown, KY 42701-1023
Phone: 2707691601

GLENDA BASTIN (NPI# 1639624893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639624893
Entity Type Individual
Full Name GLENDA BASTIN
Credential R.N.
Practice Address 108 New Glendale Rd
Elizabethtown
KY 42701-1023
Mailing Address Po Box 2609
108 New Glendale Road
Elizabethtown
KY 42702-2609
Practice Telephone 2707691601
Practice Fax Number 2707657274
Mailing Telephone 2707691601
Mailing Fax Number 2707657274
Enumeration Date 2016-08-17
Last Update Date 2016-08-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 1045777 KY Nursing Service Providers
Y 163WC1500X Registered Nurse
Specialization: Community Health
1045777 KY Nursing Service Providers

Office Location

Street Address 108 NEW GLENDALE RD
City ELIZABETHTOWN
State KY
Zip Code 42701-1023

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255309886 Barbara Kovalchik Registered Nurse 108 New Glendale Rd, Elizabethtown, KY 42701-1023 2006-03-09
1235794983 Samantha Jo Lyman Case Manager/Care Coordinator 108 New Glendale Rd, Elizabethtown, KY 42701-1023 2019-05-08
1861957136 Rebecca Aldridge Case Manager/Care Coordinator 108 New Glendale Rd, Elizabethtown, KY 42701-1023 2019-01-31
1316476781 Kristen Mccann Greenwell Case Manager/Care Coordinator 108 New Glendale Rd, Elizabethtown, KY 42701-1023 2017-06-08
1629525779 Denise Michele Grant Dental Hygienist 108 New Glendale Rd, Elizabethtown, KY 42701-1023 2016-09-07
1952771263 Nicole Marie Berry Dental Hygienist 108 New Glendale Rd, Elizabethtown, KY 42701-1023 2015-09-29
1689072373 Gwendolyn Yvette Kloeppel Dental Hygienist 108 New Glendale Rd, Elizabethtown, KY 42701-1023 2014-12-11
1306244199 Angela Marie Corbett Dental Hygienist 108 New Glendale Rd, Elizabethtown, KY 42701-1023 2014-12-11
1669870457 Leigh Ann Ulrich Dental Hygienist 108 New Glendale Rd, Elizabethtown, KY 42701-1023 2014-12-11
1871991679 Jessica Lee Donahue Dental Hygienist 108 New Glendale Rd, Elizabethtown, KY 42701-1023 2014-12-10
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356540835 Elizabeth Elaine Adams Registered Nurse Blanchfield Army Community Hospital/pm/public Health Nu, Bldg 2506 On 24th and Indiana St., Fort Campbell, KY 42223 2007-07-13
1508990540 Julie Lynne Carr Registered Nurse 96 Yellowbird St, Greenup, KY 41144-7794 2007-03-14
1770565681 Sherrie Yvonne Bailey Registered Nurse 400 Professional Ave, Winchester, KY 40391-1147 2005-11-16
1841272119 Mary Anita Arnold Registered Nurse 1025 Grand Ave, Beattyville, KY 41311-0204 2005-11-14
1053820571 Carisa Castleberry Registered Nurse 1109 State St, Bowling Green, KY 42101-2648 2017-09-27
1740736362 Sandra Evans Registered Nurse 138 Miller Lane, Bedford, KY 40006 2016-09-01
1972991941 Kacy Allen-bryant Registered Nurse 824 E Euclid Ave, Suite 101, Lexington, KY 40502-1785 2014-12-29
1013240944 Alvin Joseph Gibbons Registered Nurse 650 Joel Drive, Blanchfield Army Community Hospital, Fort Campbell, KY 42223-5349 2009-09-10
1043470743 Sharika D Labrie Registered Nurse 650 Joel Dr, Fort Campbell, KY 42223-5318 2008-06-16
1780859546 Patricia Jean Fugate Registered Nurse 441 Gorman Hollow Rd, Hazard, KY 41701-2315 2008-04-23
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Competitor

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City ELIZABETHTOWN
Zip Code 42701

Improve Information

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Dataset Information

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.

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