MR. PHELPS FREDERIC POND JR. (NPI# 1659347441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659347441 |
| Entity Type | Individual |
| Full Name | MR. PHELPS FREDERIC POND JR. |
| Credential | RN, CNS |
| Practice Address |
Blanchfield Army Community Hospital 650 Joel Dr. Fort Campbell KY 42223-5349 |
| Mailing Address |
650 Joel Dr. Fort Campbell KY 42223-5349 |
| Practice Telephone | 2707988372 |
| Practice Fax Number | 2709560180 |
| Mailing Telephone | 2707988372 |
| Mailing Fax Number | 2709560180 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
459031 | TX | Nursing Service Providers |
| Street Address |
BLANCHFIELD ARMY COMMUNITY HOSPITAL 650 JOEL DR. |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223-5349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992776991 | Gordon Troy Prairie | Family Medicine | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2006-01-28 |
| 1477181428 | Aaron Alan Hardy | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-03-27 |
| 1598390452 | Raymond L. Hernandez | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223-5349 | 2020-03-11 |
| 1053801886 | Mark Leon Siebe | Family Medicine | Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2018-05-17 |
| 1891283842 | Blake Adam Glynn | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2018-04-25 |
| 1407363575 | Sean Patrick Casey Stewart | Pharmacist | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2018-01-10 |
| 1871020081 | Marquita Sheree Barr | Social Worker | Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5349 | 2017-05-18 |
| 1346776465 | Curtiss Mills | Family Medicine | Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223 | 2017-05-10 |
| 1497295240 | Sarahlouise Perez | Counselor | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2017-02-27 |
| 1134675481 | Joseph Flynn Drevlow | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2016-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| 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 |
| 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 |
| 1912193756 | Saundeth A. Williams | Registered Nurse | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2007-09-14 |
| 1538369681 | Rena F Trumbull | Registered Nurse | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2007-07-18 |
| 1952502940 | Barbara Sue Frizzell | Registered Nurse | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2007-05-29 |
| 1205802063 | Holly Lynn Shenefiel | Registered Nurse | 650 Joel Drive, Blanchfield Army Community Hospital, Fort Campbell, KY 42223-5349 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1780859546 | Patricia Jean Fugate | Registered Nurse | 441 Gorman Hollow Rd, Hazard, KY 41701-2315 | 2008-04-23 |
| 1821136839 | Margaret G Copenhaver | Registered Nurse | 400 Professional Ave, Winchester, KY 40391-1147 | 2007-02-02 |
| 1427103621 | Carla Basanta | Registered Nurse | 650 Newtown Pike, Lexington, KY 40508-1113 | 2007-01-25 |
| 1700942448 | Lois Ann Davis | Registered Nurse | 650 Newtown Pike, Lexington, KY 40508-1113 | 2006-12-28 |
| Find all providers with the same taxonomy | ||||
| City | FORT CAMPBELL |
| Zip Code | 42223 |
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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.