GLENDA BASTIN (NPI# 1639624893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
108 NEW GLENDALE RD |
City | ELIZABETHTOWN |
State | KY |
Zip Code | 42701-1023 |
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 |
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 | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
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 |
Find all providers with the same taxonomy |
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.