JODY COOMER (NPI# 1962863407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962863407 |
| Entity Type | Individual |
| Full Name | JODY COOMER |
| Credential | APRN |
| Practice Address |
325 W Walnut St Ste. 600 Lebanon KY 40033-1377 |
| Practice Telephone | 2706999500 |
| Mailing Telephone | 2706999500 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3009967 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
325 W WALNUT ST STE. 600 |
| City | LEBANON |
| State | KY |
| Zip Code | 40033-1377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798336 | Francis W Southall Jr | Pharmacy | 325 W Walnut St, Ste 500, Lebanon, KY 40033 | 2005-05-28 |
| 1437614120 | Savannah Marie King | Nurse Practitioner | 325 W Walnut St, Lebanon, KY 40033-1377 | 2019-02-06 |
| 1972983559 | Amy Wheatley | Nurse Practitioner | 325 W Walnut St, Ste 600, Lebanon, KY 40033-1377 | 2015-06-09 |
| 1093156929 | Monica B Strenecky | Nurse Practitioner | 325 W Walnut St, Suite 600, Lebanon, KY 40033-1377 | 2013-07-08 |
| 1932410958 | Laura L Mccain | Nurse Practitioner | 325 W Walnut St, Suite 600, Lebanon, KY 40033-1377 | 2010-06-24 |
| 1316263304 | Daniel V. Hunt, Md., P.s.c. | Orthopaedic Surgery | 325 W Walnut St, Suite 100, Lebanon, KY 40033-1377 | 2010-04-15 |
| 1285969055 | Amanda M Ballard | Optometrist | 325 W Walnut St, Ste400, Lebanon, KY 40033-1377 | 2009-10-12 |
| 1073799268 | Bluegrass Eye Surgery Psc | Ophthalmology | 325 W Walnut St, Suite 400, Lebanon, KY 40033-1377 | 2008-01-17 |
| 1497871859 | Southall Pharmacy Pllc | Durable Medical Equipment & Medical Supplies | 325 W Walnut St, Suite 500, Lebanon, KY 40033-1377 | 2007-03-21 |
| 1710055041 | Gary Nathanael Wortz | Ophthalmology | 325 W Walnut St, Suite 400, Lebanon, KY 40033-1377 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1003204892 | Mmhh, LLC | Clinic/Center | 135 E. Martin Luther King Ave., Lebanon, KY 40033 | 2014-12-31 |
| 1194964510 | Gregory W. Schall, Do, Pllc | Family Medicine | 312 W High Street, Lebanon, KY 40033 | 2009-02-09 |
| 1780859553 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2136 Campbellsville Road, Lebanon, KY 40033 | 2008-04-23 |
| 1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
| 1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
| 1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
| 1215022348 | Marion County Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 320 Loretto Road, Lebanon, KY 40033 | 2006-10-04 |
| 1568479426 | Daniel Earl Bailey Jr. | Specialist | 420 Loretto Rd, Suite 600, Lebanon, KY 40033 | 2006-08-02 |
| Find all providers in zip 40033 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
| 1932716420 | Jessica Erb | Nurse Practitioner | 804 Holly Ln, Lebanon, PA 17042-9028 | 2020-09-28 |
| 1922619527 | Tammy Lynn Whitt | Nurse Practitioner | 961 Poor Farm Rd, Lebanon, VA 24266-7097 | 2020-08-17 |
| 1538777529 | Shenia Diane Johnson | Nurse Practitioner | 71 S. Flannagan Ave., Lebanon, VA 24266-2426 | 2020-07-16 |
| 1275158164 | Kelly Mcdaniel | Nurse Practitioner | 288 Rolling Meadows Rd, Lebanon, VA 24266-5870 | 2020-06-16 |
| 1609498955 | Kelsey Jones | Nurse Practitioner | 1412 Nathaniel Dr, Lebanon, MO 65536-8906 | 2020-05-09 |
| 1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1821642430 | Jill Montgomery Major | Nurse Practitioner | 135 Knights Brg, Lebanon, TN 37090-1410 | 2019-07-31 |
| Find all providers in LEBANON | ||||
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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.