MRS. ROBERTA LEE POOL (NPI# 1194704049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194704049 |
| Entity Type | Individual |
| Full Name | MRS. ROBERTA LEE POOL |
| Credential | ARNP |
| Practice Address |
140 Bryan Blvd Corbin KY 40701-2775 |
| Practice Telephone | 6065232005 |
| Practice Fax Number | 6065239704 |
| Mailing Telephone | 6065232005 |
| Mailing Fax Number | 6065239704 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2010-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4101P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78010717 | 05 | |
| KY | ANTHEM | 000000601701 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669801171 | Roberta Pool | Counselor | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2013-11-05 |
| Street Address |
140 BRYAN BLVD |
| City | CORBIN |
| State | KY |
| Zip Code | 40701-2775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073599056 | Barbourville Family Health Center | Family Medicine | 140 Bryan Blvd, Corbin, KY 40701-2775 | 2005-12-21 |
| 1649576562 | Shannon D. Bunch | Nurse Practitioner | 140 Bryan Blvd, Corbin, KY 40701-2775 | 2011-02-10 |
| 1366689895 | Lisa F Clark | Counselor | 140 Bryan Blvd, Corbin, KY 40701-2775 | 2009-01-21 |
| 1588813083 | Crystal Prewitt | Nurse Practitioner | 140 Bryan Blvd, Corbin, KY 40701-2775 | 2008-09-09 |
| 1528173325 | Raymond Allen Hackett | Urology | 140 Bryan Blvd, Corbin, KY 40701-2775 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1922305796 | Jeffrey P Butler | Nurse Practitioner | One Trillium Way, Baptist Regional Medical Center, Corbin, KY 40701-8420 | 2011-02-14 |
| 1104888908 | Mark A. Golden | Nurse Practitioner | 60 S Stewart Rd, Corbin, KY 40701-4675 | 2006-04-05 |
| 1144209081 | Amy Cobb | Nurse Practitioner | 1007 Cumberland Falls Hwy, Corbin, KY 40701-2714 | 2006-01-10 |
| 1487649950 | Angela J Singley | Nurse Practitioner | 1317 Cumberland Falls Hwy, Suite A, Corbin, KY 40701-8490 | 2005-09-12 |
| 1134122468 | Corbin Family Practice Clinic, Inc. | Nurse Practitioner | 1400 Cumberland Falls Hwy, Ste C, Corbin, KY 40701-2739 | 2005-05-31 |
| 1750384566 | Marletta Kay Lawson | Nurse Practitioner | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2005-05-24 |
| 1427680974 | Rachael Ann Gilbert | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-02-12 |
| 1316410152 | Megan M Brown | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8727 | 2019-01-04 |
| 1669944880 | Megan M Barton | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8727 | 2018-12-28 |
| Find all providers in CORBIN | ||||
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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.