HAZEL ILENE ELDRIDGE (NPI# 1326066622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326066622 |
| Entity Type | Individual |
| Full Name | HAZEL ILENE ELDRIDGE |
| Credential | ARNP |
| Practice Address |
464 Ky Highway 699 Cornettsville KY 41731-8749 |
| Mailing Address |
Po Box 40 Whitesburg KY 41858-0040 |
| Practice Telephone | 6064762593 |
| Practice Fax Number | 6064762347 |
| Mailing Telephone | 6066334823 |
| Mailing Fax Number | 6066331874 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3004613 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78014958 | 05 |
| Street Address |
464 KY HIGHWAY 699 |
| City | CORNETTSVILLE |
| State | KY |
| Zip Code | 41731-8749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811389 | Angela D Adams | Physical Therapist | 464 Ky Highway 699, Cornettsville, KY 41731-8749 | 2005-09-14 |
| 1619442134 | Keshia G. Shepherd | Social Worker | 464 Ky Highway 699, Cornettsville, KY 41731-8749 | 2018-10-11 |
| 1548705502 | Kristen Danielle Combs | Nurse Practitioner | 464 Ky Highway 699, Cornettsville, KY 41731-8749 | 2016-12-30 |
| 1114108594 | Appalachian Rehabilitation Team, Inc | Physical Therapist | 464 Ky Highway 699, Cornettsville, KY 41731-8749 | 2007-11-14 |
| 1851328900 | Stacey Johnson | Family Medicine | 464 Ky Highway 699, Cornettsville, KY 41731 | 2006-06-26 |
| 1679500722 | Susan Hull | Nurse Practitioner | 464 Ky Highway 699, Cornettsville, KY 41731 | 2006-06-26 |
| 1174578892 | Matthew Holbrook | Physician Assistant | 464 Ky Highway 699, Cornettsville, KY 41731-8749 | 2006-05-23 |
| 1326092990 | Mountain Comprehensive Health Corporation | Family Medicine | 464 Ky Highway 699, Cornettsville, KY 41731-8749 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912012949 | L B Clinic Pharmacy | Pharmacy | 464 Route 699, Cornettsville, KY 41731 | 2006-08-20 |
| 1114340759 | Teresa Day | Developmental Therapist | 2671 Highway 1103, Cornettsville, KY 41731-8520 | 2014-02-03 |
| 1386851533 | Kentucky River District Health Department | Public Health or Welfare | 7777 Ky Highway 699, Leatherwood, KY 41731-9013 | 2007-05-17 |
| 1144644022 | Mountain Comprehensive Health Corporation | Internal Medicine | 7777 Ky Highway 699, Suite A, Cornettsville, KY 41731-9013 | 2014-02-12 |
| 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 |
|---|---|---|---|---|
| 1841891645 | K Tierney Lanham LLC | Nurse Practitioner | 6431 Regency Ln, Louisville, KY 40207-2309 | 2020-11-06 |
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1124626700 | Mind & Body Wellness | Nurse Practitioner | 105 Bob White Path, Georgetown, KY 40324-6169 | 2020-10-15 |
| 1902404759 | Cassie Parr | Nurse Practitioner | 57 Melissa Branch Rd, Ary, KY 41712-8716 | 2020-10-14 |
| 1649877275 | Kristy Faith Statzer | Nurse Practitioner | 7533 Russellville Rd, Morgantown, KY 42261-9625 | 2020-10-06 |
| 1124635446 | Tori Crabtree | Nurse Practitioner | 1511 Valley Dr, Flatwoods, KY 41139-1889 | 2020-09-30 |
| 1518574235 | Margaret E Lambert | Nurse Practitioner | 2241 Abbeywood Rd, Lexington, KY 40515-1157 | 2020-09-27 |
| 1003422270 | Victoria Weis | Nurse Practitioner | 9301 Dayflower St Ste 100, Prospect, KY 40059-7585 | 2020-09-22 |
| 1598370694 | Candace Jones-martin | Nurse Practitioner | 111 Osbourne Way # 101, Georgetown, KY 40324-8004 | 2020-09-15 |
| 1588274161 | Karyn Michele Bentley | Nurse Practitioner | 210 Hoagland Hill Rd, Mount Washington, KY 40047-7583 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | CORNETTSVILLE |
| Zip Code | 41731 |
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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.