AUTUMN ROSE BALLARD (NPI# 1811518541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811518541 |
| Entity Type | Individual |
| Full Name | AUTUMN ROSE BALLARD |
| Other Name | AUTUMN ROSE KEENE |
| Practice Address |
141 Mallard Dr Frankfort KY 40601-8647 |
| Practice Telephone | 5025957789 |
| Mailing Telephone | 5025957789 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003478702 | Autumn Ballard | Occupational Therapy Assistant | 935 Wayne Rd, Savannah, TN 38372-1904 | 2019-07-02 |
| 1255847828 | Autumn L Ballard | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2017-12-19 |
| Street Address |
141 MALLARD DR |
| City | FRANKFORT |
| State | KY |
| Zip Code | 40601-8647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568082410 | David Health Solutions | Nurse Practitioner | 796 Ninevah Rd, Frankfort, KY 40601 | 2020-04-21 |
| 1013549146 | Shawna Wallen | Pharmacist | 300 Brighton Park Blvd, Frankfort, KY 40601 | 2020-02-06 |
| 1629609417 | Suzannah Cartinhour Shouse | Pharmacist | 300 Brighton Park Blvd., Frankfort, KY 40601 | 2020-01-30 |
| 1942848460 | Prana Wellness | Occupational Therapist | 220 Conway Street, Frankfort, KY 40601 | 2019-12-16 |
| 1194288910 | Katherine Bates | Art Therapist | 2225 Lawrenceburg Road, Building A Suite 1, Frankfort, KY 40601 | 2019-04-09 |
| 1912476862 | Jennifer Suzann Robinson | Health Educator | 851 East-west Connector, Frankfort, KY 40601 | 2018-11-21 |
| 1649758541 | Parker Reynolds | Physical Therapist | 111 Westridge Drive, Suite E-f, Frankfort, KY 40601 | 2018-08-02 |
| 1376034397 | Bethany Ann Burton | Dentist | 1006 Leawood Dr Ste 200, Frankfort, KY 40601 | 2018-05-24 |
| 1174046106 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1303 Us Highway 127 S Ste 106, Frankfort, KY 40601 | 2017-07-21 |
| 1619498136 | Linda Carol Langley | Physical Therapist | 108 Diagnostic Dr., Suite C, Frankfort, KY 40601 | 2017-07-06 |
| Find all providers in zip 40601 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407812340 | Bruce Elbert | Physician Assistant | 4 Hmb Circle, Frankfort, KY 40601 | 2006-04-20 |
| 1972508638 | Kimberly Renee Hayes | Physician Assistant | 4 Hmb Cir, Frankfort, KY 40601-5376 | 2005-06-17 |
| 1003211046 | Nisha Ashok Patel Prabhu | Physician Assistant | 601 Versailles Rd, Frankfort, KY 40601-3857 | 2014-11-04 |
| 1205139631 | Danny W Thacker | Physician Assistant | 279 Kings Daughters Dr, Suite 204, Frankfort, KY 40601-6561 | 2010-12-07 |
| 1346373370 | Tonya R Cohorn | Physician Assistant | 593 E Main St, Frankfort, KY 40601-2332 | 2007-03-13 |
| 1437203395 | Christine Ann Duttlinger | Physician Assistant | 101 Medical Heights Dr, Suite E, Frankfort, KY 40601-4137 | 2007-01-22 |
| 1952320368 | Mark J Eichenlaub | Physician Assistant | 224 Park Ave, Frankfort, MI 49635-9658 | 2006-07-18 |
| 1700828720 | Emily C Spencer | Physician Assistant | 101 Medical Heights Dr, Suite M, Frankfort, KY 40601-4137 | 2006-06-12 |
| 1093756355 | Stacy M Taluskie | Physician Assistant | 101 Medical Heights Dr, Suite M, Frankfort, KY 40601-4137 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364335 | Ryan Williamson | Physician Assistant | 1149 Delaney Ferry Rd, Nicholasville, KY 40356-8727 | 2020-07-27 |
| 1558982348 | Damian Morriston | Physician Assistant | 7088 Aspen Grove Ct, Louisville, KY 40241-2522 | 2020-05-03 |
| 1063041457 | Molly Ritter | Physician Assistant | 2310 Woodbourne Ave Apt 13, Louisville, KY 40205-1752 | 2020-04-07 |
| 1710525944 | Aaron Dewayne Petrey | Physician Assistant | 475 N Highway 25 W Ste 100, Williamsburg, KY 40769-1576 | 2019-12-18 |
| 1437704921 | Daniel Lee Mullins | Physician Assistant | 122 Travis Way, Georgetown, KY 40324-0500 | 2019-08-02 |
| 1871150649 | East Ky Health Service Center | Physician Assistant | 566 Highway 899 # 849, Hindman, KY 41822-8955 | 2019-05-28 |
| 1629533310 | Michelle Ladanyi | Physician Assistant | 1140 Lexington Rd Ste 102, Georgetown, KY 40324-9330 | 2019-02-06 |
| 1629582739 | Addie C Rosenberger | Physician Assistant | 200 E Chestnut St Bldg Ste 303, Louisville, KY 40202-1831 | 2017-11-28 |
| 1255788725 | Affinity Health Care Psc | Physician Assistant | 22055 Main St, Hyden, KY 41749-8568 | 2016-05-15 |
| 1629459912 | Ephraim Mcdowell Health Resources,inc | Physician Assistant | 92 Jt Petty Drive, Ste 300, Russell Springs, KY 42642 | 2015-06-12 |
| 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.