RAIN JOELLE WELLS (NPI# 1336590678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336590678 |
| Entity Type | Individual |
| Full Name | RAIN JOELLE WELLS |
| Other Name | RAIN JOELLE SUMNER |
| Credential | APRN |
| Practice Address |
901 Wallace Ave Leitchfield KY 42754-1417 |
| Practice Telephone | 2702595641 |
| Practice Fax Number | 2702595309 |
| Mailing Telephone | 2702595641 |
| Mailing Fax Number | 2702595309 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 3010727 | KY | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | 3010727 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
3010727 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION PROGRAM | F0916566 | 01 |
| Street Address |
901 WALLACE AVE |
| City | LEITCHFIELD |
| State | KY |
| Zip Code | 42754-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558318543 | Leitchfield Pediatric Clinic P.s.c. | Pediatrics | 901 Wallace Ave, Leitchfield, KY 42754-1417 | 2006-05-27 |
| 1912486887 | Jeanette Marie Jacobs | Pediatrics | 901 Wallace Ave, Leitchfield, KY 42754 | 2018-08-10 |
| 1962777433 | Anthony Kurt Smith | Pediatrics | 901 Wallace Ave, Leitchfield, KY 42754-1417 | 2012-03-17 |
| 1194919902 | Tarek El Masri | Pediatrics | 901 Wallace Ave, Leitchfield, KY 42754-1417 | 2007-09-05 |
| 1023159704 | Wendee Marie Embry | Pediatrics | 901 Wallace Ave, Leitchfield, KY 42754-1417 | 2007-02-08 |
| 1568409506 | Joseph Marion Lee | Pediatrics | 901 Wallace Ave, Leitchfield, KY 42754-1417 | 2006-05-31 |
| 1952358889 | John Edward Evans | Pediatrics | 901 Wallace Ave, Leitchfield, KY 42754-1417 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816849 | April Braun | Occupational Therapy Assistant | 121 Byrtle Grove Rd, Leitchfield, KY 42754 | 2017-04-26 |
| 1124429766 | Scott Anthony Gibson | Counselor | 805 Commerce Dr, Leitchfield, KY 42754 | 2014-09-15 |
| 1013328137 | Sandra M Dennis | Counselor | 505 O Riley St, Leitchfield, KY 42754 | 2014-05-12 |
| 1699071258 | Ellen Renae Pharis | Massage Therapist | 205 Fraim St, Leitchfield, KY 42754 | 2011-01-31 |
| 1184664096 | Joseph Michael Harris Jr. | Physical Therapist | 201 South Main Street, Leitchfield, KY 42754 | 2006-06-08 |
| 1689611469 | Joseph Michael Mulligan | Nurse Anesthetist, Certified Registered | 515 Lake Front Rd., Leitchfield, KY 42754 | 2006-06-01 |
| 1407838030 | Lincoln Trail District Health Dept | Public Health or Welfare | 124 E White Oak St, Leitchfield, KY 42754 | 2005-11-18 |
| 1487646527 | Larry Brett Abney | Optometrist | 31 Bobby Bland Way, Leitchfield, KY 42754 | 2005-08-16 |
| 1336142025 | Ted B Rogers | Orthopaedic Surgery | 908 Wallace Ave, Leitchfield, KY 42754 | 2005-05-27 |
| 1891267290 | Kristen Russell | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754 | 2018-12-23 |
| Find all providers in zip 42754 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558318543 | Leitchfield Pediatric Clinic P.s.c. | Pediatrics | 901 Wallace Ave, Leitchfield, KY 42754-1417 | 2006-05-27 |
| 1215560677 | Tara Meredith | Pediatrics | 718 Goodwin Ln, Leitchfield, KY 42754-1400 | 2020-02-13 |
| 1912486887 | Jeanette Marie Jacobs | Pediatrics | 901 Wallace Ave, Leitchfield, KY 42754 | 2018-08-10 |
| 1366869208 | Elizabeth S Stivers | Pediatrics | 908 Wallace Ave, Suite 108, Leitchfield, KY 42754-1479 | 2014-03-27 |
| 1962777433 | Anthony Kurt Smith | Pediatrics | 901 Wallace Ave, Leitchfield, KY 42754-1417 | 2012-03-17 |
| 1194919902 | Tarek El Masri | Pediatrics | 901 Wallace Ave, Leitchfield, KY 42754-1417 | 2007-09-05 |
| 1023159704 | Wendee Marie Embry | Pediatrics | 901 Wallace Ave, Leitchfield, KY 42754-1417 | 2007-02-08 |
| 1518042886 | Shagufta Yousaf | Pediatrics | 908 Wallace Ave, Ste 108, Leitchfield, KY 42754 | 2006-10-26 |
| 1003820812 | Twin Lakes Medical Foundation, Inc. | Pediatrics | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2006-07-28 |
| 1568409506 | Joseph Marion Lee | Pediatrics | 901 Wallace Ave, Leitchfield, KY 42754-1417 | 2006-05-31 |
| Find all providers in LEITCHFIELD | ||||
| City | LEITCHFIELD |
| Zip Code | 42754 |
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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.