MOLLY SULLIVAN BYLSMA (NPI# 1164813838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164813838 |
Entity Type | Individual |
Full Name | MOLLY SULLIVAN BYLSMA |
Other Name | MOLLY SULLIVAN KEARFOTT |
Credential | AGPCNP-BC |
Practice Address |
121 College St. Smiths Grove KY 42171 |
Mailing Address |
201 Park St Bowling Green KY 42101-1759 |
Practice Telephone | 2705633000 |
Practice Fax Number | 2707833753 |
Mailing Telephone | 2705633000 |
Mailing Fax Number | 2707833753 |
Enumeration Date | 2015-02-16 |
Last Update Date | 2018-06-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
3012205 | KY | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
3012205 | KY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
121 COLLEGE ST. |
City | SMITHS GROVE |
State | KY |
Zip Code | 42171 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437518800 | Rxhop, LLC | Pharmacy | 111 N. Main St, Smiths Grove, KY 42171 | 2016-02-15 |
1235403791 | Benson & Benson Family Dentistry | Dentist | 148 Vincent St, Smiths Grove, KY 42171 | 2012-03-01 |
1386965903 | Staci Nicole Greer | Dentist | 148 Vincent St., Smiths Grove, KY 42171 | 2010-06-17 |
1134393325 | Rxshop, LLC | Pharmacy | 111 N Main Street, Smiths Grove, KY 42171 | 2008-04-17 |
1518183821 | Stellar Health Care Associates Inc. | Internal Medicine | 121 College Street, Smiths Grove, KY 42171 | 2007-04-17 |
1609948462 | Charles Deon Benson | Dentist | 148 Vincent Street, P O 370, Smiths Grove, KY 42171 | 2006-11-15 |
1427160134 | Lori Rush | Counselor | 205 Mohawk Rd, Smiths Grove, KY 42171 | 2006-08-31 |
1245271436 | Pravin N Avula | Internal Medicine | 121 College St, Smiths Grove, KY 42171 | 2006-06-09 |
1326092446 | Jeremy L Schafer | Physical Therapist | 111 College Street, Smiths Grove, KY 42171 | 2006-05-22 |
1851802367 | Katlin Spillman | Nurse Practitioner | 121 College Street, Smiths Grove, KY 42171 | 2017-10-24 |
Find all providers in zip 42171 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790323731 | Kimberly Luttrell | Nurse Practitioner | 83 White Oak School Rd, Liberty, KY 42539-6180 | 2019-12-19 |
1669034781 | Kayla Marie Strother | Nurse Practitioner | 740 S Limestone Ste L304, Lexington, KY 40536-0284 | 2019-06-29 |
1558887703 | Tabitha Ann Knight | Nurse Practitioner | 2401 Parterre Pl, Lexington, KY 40504-1686 | 2017-08-18 |
1245764521 | Donna Gaye Waldie | Nurse Practitioner | 345 Windsong Dr, Hawesville, KY 42348-6703 | 2017-04-13 |
1417330747 | Bethann Nevius | Nurse Practitioner | 444 Marks Ln, Bardstown, KY 40004-9292 | 2015-07-06 |
1720384522 | Ruth Gay Lawton | Nurse Practitioner | 1431 Hepburn Ave Apt 1, Louisville, KY 40204-1652 | 2011-01-27 |
1184890535 | Geriatric Nurse Practitioner Services, LLC | Nurse Practitioner | 6652 Waterford Pl, Owensboro, KY 42303-9235 | 2008-05-06 |
1710067848 | Linda Ann Mcnamara | Nurse Practitioner | 4674 Ironbridge Dr, Lexington, KY 40515-5040 | 2006-10-16 |
1417567918 | Orthoregenerative Institute | Nurse Practitioner | 701 Executive Park, Louisville, KY 40207 | 2020-08-09 |
1891303368 | 1025 Health, LLC | Nurse Practitioner | 110 Hardin Ln, Somerset, KY 42503-3818 | 2020-07-21 |
Find all providers with the same taxonomy |
City | SMITHS GROVE |
Zip Code | 42171 |
Please comment or provide details below to improve the information on MOLLY SULLIVAN BYLSMA.
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.