RACHEL LYNN BROCK-CHILDRESS (NPI# 1972091981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972091981 |
Entity Type | Individual |
Full Name | RACHEL LYNN BROCK-CHILDRESS |
Practice Address |
81 Ball Park Rd Harlan KY 40831-1701 |
Mailing Address |
120 County Pike Harlan KY 40831-7023 |
Practice Telephone | 6065738100 |
Enumeration Date | 2018-04-25 |
Last Update Date | 2018-11-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 1118656 | KY | Nursing Service Providers |
N | 363L00000X | Nurse Practitioner | 3012818 | KY | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3012818 | KY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
81 BALL PARK RD |
City | HARLAN |
State | KY |
Zip Code | 40831-1701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427054667 | Robin Magnani | Anesthesiology | 81 Ball Park Rd, Harlan, KY 40831-1701 | 2005-06-22 |
1699399121 | Jordan Cecil Childers | Student in an Organized Health Care Education/Training Program | 81 Ball Park Rd, Harlan, KY 40831-1701 | 2020-06-01 |
1881218535 | Mythili Kanthi Gudipati | Student in an Organized Health Care Education/Training Program | 81 Ball Park Rd, Harlan, KY 40831-1701 | 2020-05-28 |
1831712546 | Tara G Hendrickson | Student in an Organized Health Care Education/Training Program | 81 Ball Park Rd, Harlan, KY 40831 | 2020-05-28 |
1497389936 | Keith Allen Goddard | Physical Medicine & Rehabilitation | 81 Ball Park Rd, Harlan, KY 40831-1701 | 2020-02-24 |
1801434493 | Alexis Barnes | Physical Therapist | 81 Ball Park Rd, Harlan, KY 40831-1701 | 2019-12-15 |
1497397863 | Casey Nicole Warf | Nurse Practitioner | 81 Ball Park Rd, Harlan, KY 40831-1701 | 2019-10-17 |
1568010064 | Pine Mountain Emergency Group Limited Liability Company | Physician Assistant | 81 Ball Park Rd, Harlan, KY 40831-1701 | 2019-08-28 |
1588216386 | Morgan Rutherford | Speech-Language Pathologist | 81 Ball Park Rd, Harlan, KY 40831-1701 | 2019-07-11 |
1841842648 | Arika Gibbs | Occupational Therapist | 81 Ball Park Rd, Harlan, KY 40831-1701 | 2019-07-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730795261 | Hometown Urgent Care | Clinic/Center | 101 Green Terrace, Harlan, KY 40831 | 2020-09-21 |
1093243727 | Right Choice Counseling | Counselor | 53 Meadowbrook Lane, Harlan, KY 40831 | 2017-05-25 |
1639515935 | Harlan County Health Department Inc/ Cawood Elementary School | Public Health or Welfare | 51 Nola St, Cawood, KY 40831 | 2013-05-14 |
1487090775 | Harlan County Health Department Inc/james A Cawood Elementary School | Public Health or Welfare | 269 Ball Park Road, Harlan, KY 40831 | 2013-05-14 |
1336278175 | Newton Samuel Guy IIi | Dentist | 303 Mound St, Harlan, KY 40831 | 2007-03-05 |
1033256904 | Earlene A. Napier | Counselor | 15 Eula Gray Street, Harlan, KY 40831 | 2007-01-31 |
1538265400 | Kirpal S Sidhu | Orthopaedic Surgery | 29 Eula Gray Street, Harlan, KY 40831 | 2006-09-16 |
1508977067 | Gursharan Kaur Sidhu | Pediatrics | 29 Eula Gray St, Gursharan Kaur Sidhu Md, Harlan, KY 40831 | 2006-08-31 |
1649229725 | Timothy Logan Yost | Physical Therapist | 100 Professional Lane, Suite 102, Harlan, KY 40831 | 2006-05-08 |
1881693471 | Medical Services of America Inc | Emergency Response System Companies | 2307 W Hwy 72, Bldg B, Unit 2, Harlan, KY 40831 | 2005-07-18 |
Find all providers in zip 40831 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669932554 | Kristin Nicole Meadors | Nurse Practitioner | 410 May St, Harlan, KY 40831-1611 | 2019-03-25 |
1962810986 | Healthcare Plus P. S. C | Nurse Practitioner | 416 Skidmore Dr, Harlan, KY 40831-1781 | 2014-07-23 |
1497397863 | Casey Nicole Warf | Nurse Practitioner | 81 Ball Park Rd, Harlan, KY 40831-1701 | 2019-10-17 |
1952864860 | Kathyrine Olivia Mclain | Nurse Practitioner | 37 Ball Park Rd, Harlan, KY 40831 | 2019-04-08 |
1184131419 | John Brandon Williams | Nurse Practitioner | 37 Ball Park Rd, Harlan, KY 40831-1701 | 2018-01-09 |
1013468222 | Savanna Wynn | Nurse Practitioner | 132 Village Center Rd, Harlan, KY 40831-1777 | 2016-10-24 |
1720538846 | Benji Ray Combs | Nurse Practitioner | 81 Ball Park Rd, Harlan, KY 40831-1701 | 2016-10-12 |
1811340425 | Sarah Marie Mgonja | Nurse Practitioner | 1220 Chatburn Ave, Harlan, IA 51537-2009 | 2016-07-19 |
1376925305 | April Dempsey | Nurse Practitioner | 132 Village Center Rd, Harlan, KY 40831-1777 | 2015-06-26 |
1912314683 | Kristin Delaney | Nurse Practitioner | 132 Village Center Rd, Harlan, KY 40831-1777 | 2014-07-15 |
Find all providers in HARLAN |
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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.