LOG MOUNTAIN FAMILY HEALTHCARE LLC (NPI# 1972536324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972536324 |
| Entity Type | Organization |
| Organization Name | LOG MOUNTAIN FAMILY HEALTHCARE LLC |
| Practice Address |
101 Mountain View Cmns Pineville KY 40977-8708 |
| Mailing Address |
Po Box 13 Pineville KY 40977-0013 |
| Practice Telephone | 6063378887 |
| Practice Fax Number | 6063378839 |
| Mailing Telephone | 6063378887 |
| Mailing Fax Number | 6063378839 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2014-04-23 |
| Authorized Official Name | TIFFENY JEAN TREECE (OWNER) |
| Authorized Official Telephone | 6063378887 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3004305 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78016086 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386156610 | Log Mountain Family Healthcare LLC | Nurse Practitioner | 101 Mountain View Cmns, Pineville, KY 40977-8708 | 2017-10-26 |
| Street Address |
101 MOUNTAIN VIEW CMNS |
| City | PINEVILLE |
| State | KY |
| Zip Code | 40977-8708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386156610 | Log Mountain Family Healthcare LLC | Nurse Practitioner | 101 Mountain View Cmns, Pineville, KY 40977-8708 | 2017-10-26 |
| 1295760718 | Tiffeny Jean Treece | Nurse Practitioner | 101 Mountain View Cmns, Pineville, KY 40977-8708 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072757 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 302 Walnut Street, Pineville, KY 40977 | 2020-10-28 |
| 1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
| 1033600416 | Southeast Family Practice Psc | Nurse Practitioner | 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 | 2018-05-22 |
| 1265971709 | Matthew Scott Powers | Physical Therapist | 103 Pine St., Pineville, KY 40977 | 2017-02-16 |
| 1316343130 | Lenn Neal | Counselor | 62 Phil Gibson Rd, Pineville, KY 40977 | 2014-11-05 |
| 1508092040 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 528 W Tennessee Ave., Pineville, KY 40977 | 2009-06-10 |
| 1477710770 | Jimmie Howard | Physical Therapy Assistant | Rt 1 Box 102, Pineville, KY 40977 | 2008-05-22 |
| 1932376175 | Kenny D Maynes | Occupational Therapist | Us 25e South, Britthaven of Pineville, Pineville, KY 40977 | 2008-05-15 |
| 1487862991 | Joanne D. Corum | General Practice | Rr 1 Box 173 Kingdom Come Parkway, Pineville, KY 40977 | 2007-05-18 |
| 1518171685 | Vivian Elesa Lasley | Contractor | Hwy 190 W, Reece Subdivision, Pineville, KY 40977 | 2007-05-09 |
| Find all providers in zip 40977 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728035 | Samantha Hickman | Nurse Practitioner | 448 Willie Clark Rd, Pineville, LA 71360-7136 | 2020-07-26 |
| 1942822788 | Divia L. Smith | Nurse Practitioner | 11611 Stockdale Ct, Pineville, NC 28134-6422 | 2020-05-14 |
| 1477184331 | James Lee Williams | Nurse Practitioner | 251 S Pine St # 606337, Pineville, KY 40977-1646 | 2020-01-30 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1861988537 | Gayle Elliott | Nurse Practitioner | 308 Griffith St, Pineville, LA 71360-5270 | 2018-07-06 |
| 1033600416 | Southeast Family Practice Psc | Nurse Practitioner | 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 | 2018-05-22 |
| 1679023311 | Trent Hines | Nurse Practitioner | 204 Chloe Rd, Pineville, LA 71360-5858 | 2016-10-05 |
| 1720335631 | Tammy Marie Roton | Nurse Practitioner | 1135 Expressway Dr Ste 200a, Pineville, LA 71360-6653 | 2012-08-09 |
| 1164729919 | Nyoka S. Dunbar | Nurse Practitioner | 12130 Monkstown Dr, Pineville, NC 28134-7340 | 2011-02-14 |
| Find all providers in PINEVILLE | ||||
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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.