REGINA M ELDER (NPI# 1346347960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346347960 |
Entity Type | Individual |
Full Name | REGINA M ELDER |
Credential | ARNP |
Practice Address |
1871 Us Highway 41a S Dixon KY 42409-9448 |
Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
Practice Telephone | 2706399440 |
Practice Fax Number | 2706399446 |
Mailing Telephone | 2706399440 |
Mailing Fax Number | 2706399446 |
Enumeration Date | 2006-09-17 |
Last Update Date | 2015-09-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4657P | KY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS PROVIDER NUMBER | 000000380663 | 01 | |
KY | 78015179 | 05 | |
KY | LICENSE | 4657P | 01 |
Street Address |
1871 US HIGHWAY 41A S |
City | DIXON |
State | KY |
Zip Code | 42409-9448 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649652249 | Owensboro Health Medical Group Inc | Nurse Practitioner | 1871 Us Highway 41a S, Dixon, KY 42409-9448 | 2015-06-19 |
1194156596 | Western Kentucky Behavioral Health | Clinic/Center | 1871 Us Highway 41a S, Dixon, KY 42409-9448 | 2013-12-10 |
1417395815 | Hometown Care LLC | Nurse Practitioner | 1871 Us Highway 41a S, Dixon, KY 42409-9448 | 2013-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548487507 | Hometown Apothecary | Pharmacy | 1355 Us Hwy 41a S, Dixon, KY 42409 | 2007-04-19 |
1518050418 | David Young Cavanah | Chiropractor | 2411 Oak Height Rd, Dixon, KY 42409 | 2006-10-02 |
1427035476 | Methodist Health, Inc. | Nurse Practitioner | 1355 State Hwy 41a S, Dixon, KY 42409 | 2005-12-29 |
1952442709 | Green River District Health Department | Public Health or Welfare | 1922 Us Highway 41a S, Dixon, KY 42409-9101 | 2007-02-12 |
1205029717 | Green River District Health Department | Public Health or Welfare | 277 State Route 1340, Dixon, KY 42409-9400 | 2007-08-20 |
1447301304 | Webster County Board of Education | Local Education Agency (LEA) | 28 State Route 1340, Dixon, KY 42409-9400 | 2007-01-16 |
1467993147 | Dixon Drug Store | Pharmacy | 1335 Us Highway 41a S, Dixon, KY 42409-9447 | 2017-03-15 |
1184243370 | Deaconess Clinic, Inc | Nurse Practitioner | 1335 Us Highway 41a S, Dixon, KY 42409-9447 | 2020-04-09 |
1346591831 | Webster County Ambulance District | Ambulance | 2690 Us Highway 41a S, Dixon, KY 42409-9450 | 2012-09-25 |
1548234834 | Green River District Health Department | Public Health or Welfare | 80 Clayton Ave, Webster County Health Center, Dixon, KY 42409-9717 | 2006-02-14 |
Find all providers in zip 42409 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346716693 | Chelsea Smith | Nurse Practitioner | 215 E 1st St Ste 214, Dixon, IL 61021-3175 | 2018-10-15 |
1164427324 | Carlene S Mcmillian | Nurse Practitioner | 206 W. 2nd Street, Dixon, MO 65459-0940 | 2005-06-15 |
1609474097 | Maggie Helen Connors | Nurse Practitioner | 215 E 1st St, Dixon, IL 61021-3166 | 2020-10-16 |
1063029247 | Valarie Pfoutz | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-30 |
1639786288 | Stephanie Marie Berlin | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-28 |
1639786270 | Marissa Leigh Frost | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-28 |
1508414756 | Ann C Lee | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2019-08-30 |
1871141465 | Sara Lee Fordham | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2019-08-28 |
1801383211 | Marla Joy Schwarz | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2018-04-20 |
1851891030 | Hannah Christine Roberts | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021 | 2018-02-14 |
Find all providers in DIXON |
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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.