CYNTHIA DIANE GLENN-BIRKHEAD (NPI# 1598720625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598720625 |
Entity Type | Individual |
Full Name | CYNTHIA DIANE GLENN-BIRKHEAD |
Other Name | CYNTHIA DIANE GLENN-BIRKHEAD |
Credential | ARNP |
Practice Address |
10015 Main St Whitesville KY 42378-9557 |
Mailing Address |
10048 Main Street Whitesville KY 42378 |
Practice Telephone | 2702331884 |
Mailing Telephone | 2707294777 |
Mailing Fax Number | 2702330202 |
Enumeration Date | 2006-04-20 |
Last Update Date | 2018-11-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2848P | KY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 78028487 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
10048 Main Street, Whitesville, KY 42378 | 2707294777 | 2702330202 |
Street Address |
10015 MAIN ST |
City | WHITESVILLE |
State | KY |
Zip Code | 42378-9557 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306452867 | Tamara Kay Rhodes | Nurse Practitioner | 10015 Main St, Whitesville, KY 42378-9557 | 2020-09-21 |
1316551831 | Kentucky Orthopedic Rehabilitation, LLC | Clinic/Center | 10015 Main St, Whitesville, KY 42378-9557 | 2020-09-02 |
1366927667 | Kimberley Elaine Gillians | Nurse Practitioner | 10015 Main St, Whitesville, KY 42378-9557 | 2018-10-02 |
1073055901 | Michele Deann Blair | Nurse Practitioner | 10015 Main St, Whitesville, KY 42378-9557 | 2016-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407959877 | Bruce Martin Baskett | General Practice | 10074 St Rt 54, Whitesville, KY 42378 | 2006-09-07 |
1528097433 | Main Street Family Medicine, LLC | Nurse Practitioner | 10048 Main Street, Whitesville, KY 42378 | 2006-07-02 |
1124554605 | Non Emergency Medical Transportation of Kentucky | Non-emergency Medical Transport (VAN) | 1481 Morgantown Rd, Whitesville, KY 42378-9407 | 2017-05-03 |
1225537244 | Shanon L. Stamper | Counselor | 2460 Carter Rd, Whitesville, KY 42378-9427 | 2018-02-05 |
1912451527 | Ashlyn Stout Wathen | Speech-Language Pathologist | 665 Old Leitchfield Rd, Whitesville, KY 42378-9446 | 2016-08-11 |
1679616163 | Cathy Marie Bland | Case Manager/Care Coordinator | 9954 State Route 764, Whitesville, KY 42378-9701 | 2007-02-14 |
1285915959 | Jamie Michelle Hamilton | Speech-Language Pathologist | 10631 Highway 764, Whitesville, KY 42378-9735 | 2011-09-07 |
1639526197 | Duvall Child Development Center, LLC | Early Intervention Provider Agency | 10631 Highway 764, Whitesville, KY 42378-9735 | 2016-05-15 |
1053709873 | Stephanie Ann Millay | Community Health Worker | 7832 Haynes Station Rd, Whitesville, KY 42378-9758 | 2014-12-31 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528097433 | Main Street Family Medicine, LLC | Nurse Practitioner | 10048 Main Street, Whitesville, KY 42378 | 2006-07-02 |
1366927667 | Kimberley Elaine Gillians | Nurse Practitioner | 10015 Main St, Whitesville, KY 42378-9557 | 2018-10-02 |
1528578838 | Christy Ann Holstein | Nurse Practitioner | 37456 Coal River Rd, Whitesville, WV 25209 | 2017-10-02 |
1619037710 | Lisa A Coleman | Nurse Practitioner | 37456 Coal River Rd, Whitesville, WV 25209-0187 | 2006-12-11 |
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 | WHITESVILLE |
Zip Code | 42378 |
Please comment or provide details below to improve the information on CYNTHIA DIANE GLENN-BIRKHEAD.
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.