MRS. KELLY ANN BASHAM (NPI# 1922137850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922137850 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ANN BASHAM |
| Practice Address |
108 New Glendale Rd Lincoln Trail District Health Dept Elizabethtown KY 42702-2609 |
| Mailing Address |
Po Box 2609 Elizabethtown KY 42702-2609 |
| Practice Telephone | 2707691601 |
| Practice Fax Number | 2707657274 |
| Mailing Telephone | 2707691601 |
| Mailing Fax Number | 2707657274 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
1084962 | KY | Nursing Service Providers |
| Street Address |
108 NEW GLENDALE RD LINCOLN TRAIL DISTRICT HEALTH DEPT |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42702-2609 |
| 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 |
| 1639624893 | Glenda Bastin | Registered Nurse | 108 New Glendale Rd, Elizabethtown, KY 42701-1023 | 2016-08-17 |
| 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 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093789166 | Lincoln Trail District Health Department | Nursing Care | 108 New Glendale Road, Elizabethtown, KY 42702-2609 | 2006-02-15 |
| 1811410780 | Jordan Elizabeth Hampton | Case Manager/Care Coordinator | 108 New Glendale Road, Po Box 2609, Elizabethtown, KY 42702-2609 | 2017-07-21 |
| 1194244673 | Kimberly Lynn Lucas | Counselor | Communicare 107 Cranes Roost Ct, Elizabethtown, KY 42702-3650 | 2017-09-15 |
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044533 | Melissa Westfall | Registered Nurse | 440 Greenup Rd, Russell, KY 41169-1087 | 2020-05-08 |
| 1073150041 | Shuronda Ware | Registered Nurse | 13518 Terrace Creek Dr Apt 101, Louisville, KY 40245-5808 | 2019-12-09 |
| 1609246321 | Angela Bucklew | Registered Nurse | 640 Wright Ave., Bowling Green, KY 42101 | 2015-10-07 |
| 1700030509 | Bev Hayes | Registered Nurse | 880 Lahue Cemetery Rd, Falls of Rough, KY 40119-6715 | 2008-11-06 |
| 1871744607 | Catherine Ellen Longshore | Registered Nurse | 10156 Cedar Ln, Alexandria, KY 41001-8908 | 2008-10-10 |
| 1275781312 | Fannie G Endres | Registered Nurse | 11436 Us Highway 42, Union, KY 41091-9483 | 2008-09-03 |
| 1780844589 | Susan Renee Rice | Registered Nurse | 1207 Maple Hill Dr, Somerset, KY 42503-8839 | 2008-06-15 |
| 1497963391 | Kerri Dianne Miller | Registered Nurse | 2759 Petros Browning Rd, Rockfield, KY 42274-9762 | 2007-05-21 |
| 1689886236 | Penny Jean Bowen | Registered Nurse | 1600 Breckenridge, Grdhd, Owensboro, KY 42302 | 2007-05-04 |
| 1326267717 | Janet M O'brien | Registered Nurse | 181 Chevy Ln, Glasgow, KY 42141-8062 | 2007-04-24 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42702 |
Please comment or provide details below to improve the information on MRS. KELLY ANN BASHAM.
| 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.