CAROLYNN LANDERS (NPI# 1659574200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659574200 |
| Entity Type | Individual |
| Full Name | CAROLYNN LANDERS |
| Practice Address |
230 Yager Ave Ste 5 Lagrange KY 40031-1060 |
| Mailing Address |
101 W Muhammad Ali Blvd Louisville KY 40202-1423 |
| Practice Telephone | 5025891100 |
| Practice Fax Number | 5025898771 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
KY | Nursing Service Providers |
| Street Address |
230 YAGER AVE STE 5 |
| City | LAGRANGE |
| State | KY |
| Zip Code | 40031-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780793372 | Thomas A Gardner | Social Worker | 230 Yager Ave Ste 5, Lagrange, KY 40031-1060 | 2006-08-29 |
| 1871624379 | Gina Anderson | Counselor | 230 Yager Ave Ste 5, Lagrange, KY 40031-1060 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723089 | Nancee L Berling | Registered Nurse | 1914 Miller Ln, La Grange, KY 40031 | 2018-06-06 |
| 1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
| 1609399971 | Walgreen Co | Pharmacy | 408 Oldham Plaza, La Grange, KY 40031 | 2017-07-19 |
| 1447790886 | Carolyn Marie Burton | Speech-Language Pathologist | 4603 Timber Walk Ct., Lagrange, KY 40031 | 2017-03-05 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1730559188 | Amanda Lynn Drawbaugh | Physical Therapist | Ascb Therapy, 4603 Timber Walk Ct., Lagrange, KY 40031 | 2015-09-29 |
| 1407250483 | Aaron Mangum | Specialist/Technologist | 2850 Jericho Road, Lagrange, KY 40031 | 2014-10-20 |
| 1073944500 | Tamara Thomas | Case Manager/Care Coordinator | 4121 Spencer Ct, Lagrange, KY 40031 | 2013-12-10 |
| 1669643854 | Alisa Marie Skinner | Physical Therapist | 618 Kentucky Ave, Lagrange, KY 40031 | 2008-03-17 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| Find all providers in zip 40031 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396209235 | Liane H Pugh | Registered Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-01-24 |
| 1184972242 | Anna R Ogletree | Registered Nurse | 122 Gordon Commercial Dr Ste C, Pathways Center, Lagrange, GA 30240-5754 | 2012-08-21 |
| 1013265164 | Marcia Annette Davis | Registered Nurse | 122 Gordon Commercial Dr Ste C, Pathways, Lagrange, GA 30240-5754 | 2012-08-21 |
| 1487918975 | Verna Fay Daley-evans | Registered Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2012-06-28 |
| 1598029134 | Tammy R Pierce | Registered Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2012-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033731419 | Kristen Rae Fugate | Registered Nurse | 101 Airport Gardens Rd Ste 200, Hazard, KY 41701-9510 | 2020-05-08 |
| 1457723033 | Lauren Bradbury | Registered Nurse | 1201 N. Ft. Thomas Ave., Ft. Thomas, KY 41075 | 2015-10-22 |
| 1033509393 | Dawn Garrett -wright | Registered Nurse | 350 Park Street Ste 204, Psychiatric Associates, Bowling Green, KY 42101-3516 | 2015-01-26 |
| 1548516040 | Danielle M. Mcpeak | Registered Nurse | 2355 Poplar Level Rd Ste 200, Louisville, KY 40217-1385 | 2012-08-02 |
| 1780816736 | Leigh Baldwin | Registered Nurse | 224 Powell St, Henderson, KY 42420-3529 | 2009-08-10 |
| 1962645853 | Freedom Psychiatry, Pllc | Registered Nurse | 489 Hammer Mill Rd, Wurtland, KY 41144-7798 | 2009-04-08 |
| 1053445858 | Gertrude Harmon | Registered Nurse | 869 Sparta Court, Lexington, KY 40504 | 2007-03-15 |
| 1558401497 | Roger L Moore | Registered Nurse | 710 Perryville Road, Harrodsburg, KY 40330 | 2007-02-08 |
| 1750316501 | Mindy Chandler | Registered Nurse | 1035 Porter Pike, Bowling Green, KY 42103-9581 | 2006-07-11 |
| 1518921386 | Suzanne K. Barger | Registered Nurse | 513 Madison Ave, Covington, KY 41011-1562 | 2006-04-17 |
| Find all providers with the same taxonomy | ||||
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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.