BENITA AMICK (NPI# 1548658016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548658016 |
| Entity Type | Individual |
| Full Name | BENITA AMICK |
| Credential | APRN |
| Practice Address |
246 Ky Route 979 Harold KY 41635-9046 |
| Mailing Address |
Po Box 432 Pikeville KY 41502-0432 |
| Practice Telephone | 6064784600 |
| Practice Fax Number | 6064784601 |
| Mailing Telephone | 6062184773 |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2018-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3008122 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
246 KY ROUTE 979 |
| City | HAROLD |
| State | KY |
| Zip Code | 41635-9046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811034861 | Debra Karen Hall | Family Medicine | 246 Ky Route 979, Harold, KY 41635-9046 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215467741 | Crystal Ann Green | Nurse Practitioner | 246 Ky-979, Harold, KY 41635 | 2017-06-18 |
| 1114528924 | Kristin Burge | Pharmacist | 350 Whitesburg Plaza, Whitesburg, KY 41635 | 2020-11-06 |
| 1629303060 | Parsons Family Medicine Pllc | Clinic/Center | 24 Left Penhook Rd, Harold, KY 41635-7001 | 2009-10-02 |
| 1437483203 | Rx Discount Pharmacy of Harlan, Inc. | Pharmacy | 24 Left Penhook Rd, Harold, KY 41635-7001 | 2009-09-28 |
| 1194374207 | John Lee Cecil | Psychologist | 203 Right Penhook Rd, Harold, KY 41635-7008 | 2019-09-11 |
| 1306919311 | Tara J. Newsome | Family Medicine | 24 Left Penhook Rd, Harold, KY 41635-7064 | 2006-11-16 |
| 1194351460 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 24 Left Penhook Rd, Harold, KY 41635-7064 | 2020-03-19 |
| 1033778782 | Arh Tug Valley Health Services, Inc. | Clinic/Center | 24 Left Penhook Rd, Harold, KY 41635-7064 | 2019-06-06 |
| 1740747401 | Cindy Nicole Maynard | Nurse Practitioner | 24 Left Penhook Rd, Harold, KY 41635-7064 | 2019-02-28 |
| 1346720505 | Bonnie Marie Ferguson | Nurse Practitioner | 24 Left Penhook Rd, Harold, KY 41635-7064 | 2018-08-17 |
| Find all providers in zip 41635 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215467741 | Crystal Ann Green | Nurse Practitioner | 246 Ky-979, Harold, KY 41635 | 2017-06-18 |
| 1740747401 | Cindy Nicole Maynard | Nurse Practitioner | 24 Left Penhook Rd, Harold, KY 41635-7064 | 2019-02-28 |
| 1346720505 | Bonnie Marie Ferguson | Nurse Practitioner | 24 Left Penhook Rd, Harold, KY 41635-7064 | 2018-08-17 |
| 1043616808 | Julia Johnstone | Nurse Practitioner | 24 Left Penhook Rd, Harold, KY 41635-7064 | 2014-11-06 |
| 1265579239 | Wilma Leslie | Nurse Practitioner | 24 Left Penhook Rd, Harold, KY 41635-7064 | 2007-01-31 |
| 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 | ||||
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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.