CRYSTAL LOVELLA BRANHAM (NPI# 1417224239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417224239 |
| Entity Type | Individual |
| Full Name | CRYSTAL LOVELLA BRANHAM |
| Credential | RN,MSN,FNP-BC |
| Practice Address |
112 East Street Elkhorn City KY 41522 |
| Mailing Address |
Po Box 1810 Prestonsburg KY 41653-5810 |
| Practice Telephone | 6067889259 |
| Practice Fax Number | 6067889307 |
| Mailing Telephone | 6067889259 |
| Mailing Fax Number | 6067889307 |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2016-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007228 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | AMERICAN NURSES /FAMILY NURSE PRACTITIONER | 2011013543 | 01 |
| KY | 7100196230 | 05 | |
| KY | KENTUCKY APRN LICENSURE | 3007228 | 01 |
| Street Address |
112 EAST STREET |
| City | ELKHORN CITY |
| State | KY |
| Zip Code | 41522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392841 | Westcare Kentucky Inc | Substance Abuse Rehabilitation Facility | 5971 Poor Bottom Road, Elkhorn City, KY 41522 | 2020-10-02 |
| 1356628648 | Wellness Center of Elkhorn City | Clinic/Center | 17401 Hwy 80e, Elkhorn City, KY 41522 | 2011-11-15 |
| 1437285533 | Pike County Health Department Elkhorn | Public Health or Welfare | 551 Russell Street, Elkhorn City, KY 41522 | 2007-02-26 |
| 1922143213 | Jenkins Community Hospital Dba Jenkins Community Hospital | Clinic/Center | 257 Russell Street, Elkhorn City, KY 41522 | 2007-02-21 |
| 1396891347 | James David Justice | Dentist | 155 East Main Street, Elkhorn City, KY 41522 | 2007-01-25 |
| 1568514354 | Rebecca Jo Anderson | Dentist | 170 West Fifth Street, Elkhorn City, KY 41522 | 2007-01-18 |
| 1770633018 | Mary Anne Belcher | Optometrist | 20 Spring Ave, Elkhorn City, KY 41522 | 2007-01-11 |
| 1831272491 | Larry W Lynn | Dentist | 919 Elkhorn Creek Road, Elkhorn City, KY 41522 | 2006-10-24 |
| 1801978820 | Robert Lancer Lester | Pharmacist | 112 E. Main St., Elkhorn City, KY 41522 | 2006-10-19 |
| 1497720072 | Elkhorn Ambulance Service, Inc | Ambulance | 223 Bridge Street, Elkhorn City, KY 41522 | 2006-02-17 |
| Find all providers in zip 41522 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254845 | Jeremy Clarke Bevins | Nurse Practitioner | 110 Cumberland Rd, Elkhorn City, KY 41522-7177 | 2020-08-08 |
| 1780106591 | Elkhorn Primary Care | Nurse Practitioner | 112 E Main St, Elkhorn City, KY 41522-9043 | 2017-07-13 |
| 1568769107 | Lewauna Renee Reardon | Nurse Practitioner | 905 W Russell St, Elkhorn City, KY 41522-9032 | 2011-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | ELKHORN CITY |
| Zip Code | 41522 |
Please comment or provide details below to improve the information on CRYSTAL LOVELLA BRANHAM.
| 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.