DEVIN LEE MICHAEL EDWARDS (NPI# 1578052973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578052973 |
| Entity Type | Individual |
| Full Name | DEVIN LEE MICHAEL EDWARDS |
| Credential | PA-C |
| Practice Address |
45 Moonbow Plz Corbin KY 40701 |
| Mailing Address |
Po Box 1325 Corbin KY 40702-1325 |
| Practice Telephone | 6065239010 |
| Mailing Telephone | 6065268131 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | TC714 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134466634 | Devin Wayne Edwards | Social Worker | 5688 Elm Ave, San Bernardino, CA 92404-2916 | 2013-01-04 |
| 1174059299 | Devin Edwards | Case Manager/Care Coordinator | 1263 N 15th St, Laramie, WY 82072-2343 | 2017-05-10 |
| 1427445964 | Devin W Edwards | Social Worker | 575 E. 100 S., Price, UT 84501-0000 | 2015-04-22 |
| 1578753521 | Devin Shane Edwards | Surgery | 1437 W Morris Blvd, Morristown, TN 37813-2828 | 2007-07-26 |
| Street Address |
45 MOONBOW PLZ |
| City | CORBIN |
| State | KY |
| Zip Code | 40701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417996 | Pramod A Reddy | Internal Medicine | 45 Moonbow Plz, Corbin, KY 40701-8949 | 2005-06-16 |
| 1265904890 | Charity Douglas | Nurse Practitioner | 45 Moonbow Plz, Corbin, KY 40701-8949 | 2018-12-20 |
| 1033546296 | Amanda Kathryn Hammons | Physician Assistant | 45 Moonbow Plz, Corbin, KY 40701-8949 | 2013-10-02 |
| 1689767543 | Khaled Saleh | Specialist | 45 Moonbow Plz, Corbin, KY 40701 | 2006-10-02 |
| 1386752756 | Heart Specialists of Se Ky Psc | Physician Assistant | 45 Moonbow Plz, Corbin, KY 40701-8949 | 2006-08-27 |
| 1043222029 | John P. Loventhal | Internal Medicine | 45 Moonbow Plz, Corbin, KY 40701-8949 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444205 | Joshua Allen Carnes | Physician Assistant | 144 Canary Cir, Corbin, KY 40701-6527 | 2020-07-16 |
| 1841248507 | Ingrid Minor | Physician Assistant | 110 Roy Kidd Ave, Corbin, KY 40701-1302 | 2006-05-05 |
| 1558984443 | Brittany Belcher | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-05-26 |
| 1891318192 | Bridgette Nichole Smallwood | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-05-20 |
| 1487112843 | Atlas Pain and Spine Pllc | Physician Assistant | 1 Trillium Way Ste 111, Corbin, KY 40701-8727 | 2019-03-05 |
| 1346717295 | Jonathan L Smith | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2018-10-30 |
| 1396231841 | Kristen Moran Wells | Physician Assistant | 120 N Commonwealth Ave Ste 1, Corbin, KY 40701 | 2018-07-09 |
| 1174056261 | Grace Community Health Center Inc | Physician Assistant | 121 Bishop St, Corbin, KY 40701-1702 | 2017-04-06 |
| 1184171118 | Allyson E O'kuma | Physician Assistant | 2 Trillium Way, Ste. 306, Corbin, KY 40701-8490 | 2016-09-07 |
| 1467824623 | Taijha R Kleinmann | Physician Assistant | 14949 N Us Highway 25 E, Ste. 6, Corbin, KY 40701-6285 | 2015-10-28 |
| Find all providers in CORBIN | ||||
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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.